Personal care and routines
Respectful assistance with washing, dressing, continence, meals, household tasks and establishing a manageable daily structure.
Brain injury care at home in St Helens
Personalised support for recovery, stability and everyday life
Care built around the person’s identity, strengths, routines and rehabilitation goals—not simply their diagnosis.
Support is individually assessed and delivered alongside the person’s clinical and rehabilitation professionals. TogetherCare does not replace emergency, medical or therapy services.
Person-led supportIdentity, preferences and ambitions remain central
Rehabilitation focusedEveryday support reinforcing agreed professional goals
Consistent teamsCarefully matched and package-trained workers
Day and night optionsVisits, extended shifts and continuous care
Understanding the person beyond the injury
No two experiences of brain injury are the same
Changes may involve memory, communication, mobility, behaviour, concentration, emotion, fatigue and the ability to organise daily life. Some are visible; others are easily missed but still affect confidence, relationships and independence.
We take time to understand who the person is, how life has changed and what they would like to achieve now. The individual remains involved in decisions about their own support wherever possible.
A whole-person assessment
Looking beyond immediate care tasks
A good plan brings together cognition, health, communication, daily routines, relationships and longer-term outcomes.
Cognition and organisationMemory, concentration, initiation, planning, sequencing, processing and insight
CommunicationSpeech, language, understanding, expression, aids and effective approaches
Physical needsMobility, transfers, fatigue, pain, seizures, nutrition, swallowing and medication
Emotional wellbeingMood, frustration, anxiety, behaviour changes, triggers and helpful strategies
Risk and decision-makingRoad safety, vulnerability, impulsivity, capacity and proportionate positive risk
Meaningful outcomesRelationships, home skills, community access, education, employment and interests
How TogetherCare can help
Practical support that makes daily life more manageable
Support is adapted to the individual’s current abilities and reviewed as skills, risks and goals change.
Memory and organisation
Calendars, reminders, prompts, checklists, step-by-step routines and consistent placement of important belongings.
Communication support
Allowing processing time, reducing distractions, using agreed aids and checking understanding without speaking over the person.
Medication
Prompts, assistance or administration following assessment, with digital records and escalation of refusals, omissions or concerns.
Mobility and physical support
Transfers, positioning, walking aids, wheelchairs and therapy-led routines following current professional guidance.
Community participation
Appointments, shopping, travel, family contact, activities, education, volunteering or return-to-work goals.
Cognition, fatigue and behaviour
Responding with consistency rather than judgement
Difficulty initiating a task may look like unwillingness; reduced insight may affect risk awareness; fatigue may reduce communication and emotional control. Staff need to understand what is caused by the injury and use strategies agreed with the wider team.
Support should be calm, predictable and proportionate. Restriction is not used simply because it is convenient.
Read Headway’s guide to the effects of brain injuryHelpful approaches may include
- One instruction at a time
- Extra processing time
- Quiet, low-distraction environments
- Planned rest periods
- Visual prompts and familiar routines
- Clear, respectful language
- Recognising early signs of overload
- Consistent boundaries
- Recording triggers and effective responses
- Positive reinforcement of progress
Health and safety
Clear protocols for known risks
Individual emergency planning
Where seizures are known, the plan records the person’s usual presentation, immediate actions, rescue medication responsibilities and when emergency help is required.
Nutrition and hydration
Staff follow professional guidance on food texture, drinks, positioning and equipment, escalating coughing, choking, reduced intake or new swallowing difficulty.
Safe medication support
Care workers do not change doses or treatment. Specialist or rescue medicines require authorisation, training, competency and a clear protocol.
Positive and proportionate support
Road safety, finances, online activity, cooking or community access are addressed through lawful, least-restrictive planning rather than blanket control.
Decision-specific practice
A brain injury does not automatically mean someone lacks capacity. People are supported to decide and may make choices others consider unwise.
Recognising deterioration
New confusion, altered consciousness, seizure pattern, weakness, swallowing difficulty or significant behavioural change is escalated promptly.
ImportantTogetherCare is not an emergency service. In an immediate or life-threatening emergency, call 999 and follow the person’s clinical plan.
Rehabilitation in real life
Progress continues between formal appointments
Care workers do not create therapy programmes, but can reinforce agreed goals during ordinary routines—preparing a meal, planning a journey, managing appointments or building confidence in the community.
Hospital and rehabilitation discharge
A planned return home
We can work with discharge teams, neuro-rehabilitation services, therapists, case managers, Continuing Healthcare and families to establish a safe package.
Before support starts
- Current assessments and risk plans
- Medication and seizure protocols
- Communication guidance
- Moving-and-handling information
- Swallowing and nutrition plans
- Equipment and access arrangements
- Package-specific staff training
- Contingency and escalation routes
Case-managed packages
- Bespoke recruitment and matching
- Therapy-led goal support
- Progress and outcome reports
- Review and MDT attendance
- Risk and incident updates
- Communication with deputies or solicitors
- Overnight or continuous staffing
We will not accept an unsafe discharge simply to meet a date. Outstanding equipment, guidance, training or staffing must be resolved first.
Families and professionals
One plan, clearly understood
Family knowledge can be invaluable, while the person receiving support remains central. Consent, information sharing and reporting arrangements are agreed so everyone understands responsibilities.
Continuity and oversight
A familiar team that understands the baseline
Day and night support
- Regular home-care visits
- Extended daytime shifts
- Waking nights
- Sleep-ins for occasional needs
- Continuous-care rotas where assessed
- Double-handed support where required
Digital records and review
Records may cover cognition, mood, communication, fatigue, personal care, medication, seizures, mobility, nutrition, community activity, risks and professional contact.
Reviews focus on meaningful outcomes and take place following discharge, incidents, changing needs or progress towards greater independence.
Why TogetherCare
Local, dependable and honest about delivery
- Detailed person-led assessment
- St Helens-based management
- Brain-injury-aware staff matching
- Package-specific training
- Rehabilitation-focused routines
- Medication support where assessed
- Digital care records
- Case manager and MDT working
- Day, night and continuous options
- Clear escalation arrangements
Frequently asked questions
Brain injury support at home
Speak to our team about the person’s current abilities, risks and goals.
What is acquired brain injury care?
It is personalised support for someone whose brain has been injured after birth through trauma, stroke, illness, oxygen loss or another cause. It can address physical, cognitive, emotional, behavioural and practical needs.
Can you support someone with memory problems?
Yes. Support may include reminders, checklists, calendars, consistent routines and step-by-step prompts matched to the person’s abilities.
Can staff support rehabilitation goals?
Yes. Care workers can reinforce programmes designed by therapists but do not independently create or alter clinical rehabilitation plans.
Can you support seizures?
Potentially, following assessment and a clear professional plan. Rescue medication requires specific authorisation, training and competency.
Do you provide overnight care?
Subject to assessment and staffing, options can include waking nights, sleep-ins or continuous-care rotas.
Can you work with a case manager?
Yes. We can attend reviews, support therapy-led outcomes and provide agreed progress, incident and risk reporting.
Does a brain injury mean someone lacks capacity?
No. Capacity is presumed and assessed for a particular decision at a particular time where there is reason for doubt.
Can you support discharge from rehabilitation?
Yes, where staffing, equipment, medication, training, professional guidance and contingency arrangements can be safely established.
Do you work outside St Helens?
St Helens is our main area. Suitable packages in Widnes, Knowsley and Wigan can also be considered.
Arrange an assessment
Tell us what the person wants support to achieve
Referrals are welcome from individuals, families, social workers, NHS teams, rehabilitation services, case managers, solicitors, deputies and Continuing Healthcare.
The lifestyle images on this page are original illustrations created for TogetherCare. The may not show actual service users or staff.