Personal care with dignity
Gentle support with washing, dressing, continence, mouth care and changing bedding. We explain what we are doing, protect privacy and avoid rushing.
End of life care at home in St Helens
Compassionate support when comfort, dignity and presence matter most
Personal, dependable care that helps someone remain in familiar surroundings with the people, routines and things that matter to them.
TogetherCare provides social care alongside GPs, district nurses, hospices and palliative care professionals. We do not replace clinical services.
St Helens-based teamLocal support from a family-run provider
Day and night optionsVisits, extended calls and overnight care
Professional partnershipWorking alongside the person’s clinical team
Urgent referrals consideredSubject to assessment and safe availability
Care that begins with listening
Every person, family and situation is different
End of life care is one of the most personal and sensitive forms of support a person and their family may need. Some people require a small amount of practical help alongside family care; others may need regular visits, extended calls, waking nights or more continuous assistance.
Our role is to understand the person’s wishes, provide dependable care and support those closest to them—without making promises that cannot be delivered safely.
Guided by the individual
The person remains at the centre of their care
Support should reflect the person’s beliefs, routines, relationships and preferences. Before care begins, we take time to understand what matters and how support should be delivered.
Where mental capacity is affected, we follow the agreed care plan and work with appropriate representatives and professionals so decisions remain lawful, respectful and in the person’s best interests.
Place and routinesWhere the person wishes to receive care and their preferred daily pattern
Personal careHow care should be delivered, including privacy and who they feel comfortable with
Culture and faithReligious, spiritual, cultural and communication preferences
RelationshipsWho should be involved in decisions and communication
Comfort and mobilityPositioning, equipment, moving support and pressure-area guidance
Plans and escalationMedication arrangements, advance planning and who to contact when something changes
Remaining at home
Familiar surroundings can provide security and comfort
Many people wish to spend their final weeks or days at home, surrounded by familiar belongings, family, pets and routines. TogetherCare can provide practical support that helps make this possible.
Our care workers contribute through reliable attendance, observation, clear digital records and prompt escalation. GPs, district nurses and specialist palliative teams remain responsible for clinical assessment, prescribing, symptom management and medical decisions.
NHS guidance on end of life care at homeSupport may include
- Personal care and continence support
- Mouth care and comfort checks
- Repositioning and pressure-area awareness
- Medication support within the agreed plan
- Meals, drinks and hydration encouragement
- Mobility and transfer assistance
- Comfortable bedding and surroundings
- Companionship and emotional reassurance
- Support for relatives and unpaid carers
- Day visits, extended calls and overnight care
How our team can help
Small actions can make a meaningful difference
Care is always delivered within the worker’s role, training and competence, following the agreed care plan and professional guidance.
Comfort-focused support
Adjusting pillows, supporting a change of position, helping maintain a calm room and providing reassurance or quiet company.
Medication support
Prompts, assistance or administration only where assessed, recorded and included in the agreed plan, with concerns escalated promptly.
Observation and records
Clear care notes and reporting of changes in comfort, breathing, alertness, swallowing, skin condition, intake or agitation.
Family reassurance
Reliable attendance, calm communication and practical help that can give relatives time to rest or simply be present as family.
Professional liaison
Communication with agreed professionals and family contacts where consent and information-sharing arrangements allow.
Medication safety
Clear responsibilities before care begins
Medication arrangements can become more complex as someone approaches the end of life. We confirm what staff may safely do, how it will be recorded and who should be contacted about missed, refused or ineffective medication.
- Care workers do not independently change doses
- New medicines require an authorised clinical plan
- Specialist or anticipatory medicines need appropriate training and authorisation
- Uncontrolled symptoms are escalated to the responsible clinical team
Clinical concerns
Prompt escalation—not independent medical decisions
Care workers report changes such as increased pain or distress, altered breathing, reduced responsiveness, swallowing difficulty, low intake, skin changes, agitation or sudden deterioration.
Where a concern is outside our remit, staff follow the agreed escalation plan and contact the appropriate professional or emergency service.
ImportantTogetherCare is not an emergency or medical service. In an emergency, call 999 and follow the person’s agreed clinical plan.
Working together
Coordinated care around the person and family
Good end of life care depends on clear responsibilities, reliable communication and respect for the person’s choices.
Health and social care professionals
Subject to consent and agreed information sharing, we can work alongside:
Families and unpaid carers
Relatives may want to remain closely involved while also needing practical help, night-time support or an opportunity to rest.
- Agreed family contacts kept informed
- Practical care tasks shared respectfully
- Overnight support considered where available
- Privacy and time together protected
- Honest explanations of what falls within our role
Overnight end of life care
Reassurance through the night
Night-time can be particularly difficult. The person may need repositioning, continence care, medication support, reassurance or closer observation, while relatives may be exhausted after providing care during the day.
The right arrangement is agreed following assessment and reviewed if the person’s condition changes.
Urgent and fast-track support
Responsive planning without compromising safety
Care may be needed with very little notice following hospital discharge or a rapid change in health. TogetherCare can consider urgent referrals and Continuing Healthcare fast-track packages in St Helens.
What we need before starting
- Current care and clinical information
- Medication details and responsibilities
- Moving and handling guidance
- Required equipment in place
- Professional and emergency contacts
- Access arrangements
- Suitable staff availability
- Any required training or competency checks
Returning home from hospital
- Reviewing proposed care hours
- Confirming staffing arrangements
- Checking equipment and moving needs
- Agreeing escalation and communication routes
- Supporting the first days at home
- Reviewing quickly as needs change
- Considering overnight support
We respond promptly, but our priority is to mobilise safely and responsibly rather than accept a package before understanding the full requirement.
Choice, consent and planning ahead
Understanding what matters before a crisis
Where an advance care plan, ReSPECT form or other relevant document exists, staff should know where it is kept and understand the parts relevant to their role.
TogetherCare does not make resuscitation or medical treatment decisions. We follow the agreed plan and seek guidance from the appropriate professional when required.
Why TogetherCare
Calm, respectful and dependable support
TogetherCare is a local, family-run provider with experience supporting planned, urgent and overnight care packages. This work requires maturity, reliability and compassion.
- Personalised support around individual wishes
- Local St Helens-based coordination
- Respectful personal care
- Flexible day and night options
- Clear digital care records
- Prompt escalation of concerns
- Partnership with health professionals
- Support for families and unpaid carers
Frequently asked questions
Clear answers at a difficult time
If your question is not covered here, call our team. We will listen, explain what falls within our role and tell you honestly what information is needed next.
What is end of life care at home?
It provides personal, practical and emotional support for someone approaching the end of their life. It works alongside clinical care from GPs, district nurses, palliative care teams and other health professionals.
Is end of life care the same as palliative care?
The terms are related but not identical. Palliative care can begin earlier and focuses on comfort and quality of life for someone with a serious illness. End of life care usually refers to support during the final period of a person’s life.
Can care be arranged urgently?
We can consider urgent and fast-track referrals. The actual start time depends on safe assessment, staffing, medication arrangements, equipment and the skills required.
Can you provide overnight care?
We can consider waking-night, sleep-in or night-sit arrangements following assessment and subject to suitable staff availability.
Can care workers administer medication?
Medication support depends on the care plan, medicine, staff training, authorisation and competence. Responsibilities are confirmed before care starts. Care workers do not independently change medication or make medical decisions.
Do you replace district nurses?
No. Our care workers provide social care and agreed support. District nurses and other clinicians remain responsible for clinical assessment, nursing interventions, prescribing, symptom management and medical decisions.
Can family members stay involved?
Yes. With the person’s consent, relatives can remain closely involved in assessments, reviews and agreed communication about care.
Can you support someone returning home from hospital?
Yes. We can work with discharge teams and community professionals to plan a safe return home, subject to assessment and suitable arrangements being in place.
Do you provide care outside St Helens?
St Helens is our primary area. We can also consider suitable referrals in Widnes, Knowsley and Wigan where safe and reliable coverage is available.
Arrange end of life care at home
Start with a calm, honest conversation
You may be contacting us after a hospital discharge, a Continuing Healthcare referral or a change in a relative’s condition. We will listen, review the information available and explain what TogetherCare may be able to provide.
The lifestyle images on this page are original illustrations created for TogetherCare. They may not actual service users or staff.