Optimum  Personal  Assisted  Living


DEMENTIA specific care 

When hiring a home carer to look after your love one, you want to know that the person you take on is the best person for them.  Remember you need to know if the person is safe.  When an agency comes into your home they have already been DBS checked by the care provider.   If you hiring privately  cover your own back.

Below is a list of questions I was asked when I started offering private care

Some things to consider

About THEM

Who are they?       What's their Name and age.

Are they married, Are they divorced or in a relationship?

Do they have children?  How Many?  

Do they have childcare?  This can be a problem if their child is ever ill.  (this will not be a deal breaker)

What was their previous job?  why did they leave?

Where do they live,  do they have their own car and how far do they live from your home?

Are they FIRST AID trained?   

Do they have the correct insurance?

About the Person they will be looking after.

Who is it,  How old, and where do they live?

WHAT CONDITION do they have that requires a carer.

What is your relationship to the individual?

Is the individual mobile?  Do they wander?

What is the set up of the home? 

Where do they sleep?  Is it upstairs?  Falls prevention needs to be implemented?

Is the bathroom easily accessible?  Do they have a shower or bath?

What is their daily routine presently.  What time do they get up? 

What time do they eat breakfast?

How long does it take, When time is lunch time and tea time?

How do they have their beverages and snacks?

It is important that the carer knows who comes in to the home and when.  Remember safeguarding for that person.  So if people are going to visit they need to call in advance.  Friends, Family, chiropractors, Specialist nurses, Doctors.  Contractors such as plumbers, Electricians.

There are a variety of reasons, one in particular is the behaviour of a person.  You never know from one day to the next how they are going to be.  They will need toileting before hand, especially if they have had an accident.  They may spill a drink and their clothes need changing.  They may be in the middle of lunch.  This can be distressing for the people visiting if they see that they need to be fed.  If the individual is having a 'bad' day, the person visiting can be contacted and rearranged.  These are just some things that need to be considered.


Do they have appointments they need to be at.

How do they get there?  Is that the responsibility of the carer/ambulance.  

Is the carer expected to attend.

Does the individual need constant care? Are they left at home at any point?


The care plan of the individual needs to be accessible at all times as this has all information and history of the person when it comes to their care.  It will state what conditions they have,  Any falls information.  If they have had a bone break in the past.  This can reduce their mobility.    It will tell the carer about any allergies they have.  This could induce an anaphylactic shock.  Any phobias they have.  For example if they don't like the dark, therefore sleeping with the door open or a side light on.  

It will tell you medication they are on and doses.  This should be talked about before hand because some carers will not give medication unless it is in writing. and placed in their care plan.   The care plan will tell you about rescue medication can be given if the individual has an epileptic fit.


Does the person require their drinks to be thickened and their food to be softened in anyway.


It is wise to ask if the carer your hiring has 'cover' if they are not there.  Does this person they have hiring also have a DBS.  How do they know them?  You can discuss this when you interview them.


It is important that you have a tidy clean home.  This is purely for the safety of the individual,  May be have a specific area that they can sit.  Its all good and well looking after the personal care of an individual,  but what else does that person need to live a fulfilled life.  Consider activities that they may of done in their past.

* Meet with friends

* Groups

* Garden Centres

* Drives out

* Shopping

* Do they want to throw a small get together at home

One question I am always asked is Do you do housekeeping too?  YES.  It is important that we try to adapt our lives and keep some activities in there,  and keeping a clean home is important for the individual.


I am married have three girls, one is in the Royal Navy as a weapons engineer and the two younger were my foster girls.  I was a teacher of practical arts, and in 2007 the recession hit the UK and I was made redundant.  I then thought what it was I wanted to do.  I knew it had to be something that would use my communication skills and passion.  In 2017  I took on a role by chance at a nursing home.  The role was for activities in a nursing home.   I was thrown in the deep end to just get on with it.  I was faced with very basic amenities and residents that were more or less asleep than they were awake.  I could see what was lacking, and that was meaning in their daily lives.  The care staff were very busy and had limited time nurture what was in the minds of the residents.  The relatives that were visiting were in a state of sorrow.  After sitting down and reading what CQC and Care Inspectorate Wales needed to see in homes to get a good grade, I had work to do.  I researched what qualifications I needed to achieve, that would serve me in the coming years and changing policies.

One day a new lady came to the home.  She was given weeks to live, but I could see past the shell of the woman.  I saw the spirit inside.  Her embers of life were just about smouldering.  I did not want them to go out.  Out come my bellows and i decided to blow life into the place.  I sat and sang Vera Lynn countless times with her.  We drew pictures, we shared words and sometimes sentences.  Then the day came where she looked at me straight in the eye and said "I will persevere  with practice"  At that point I knew what I needed to do.  I went off and gained the relevant qualifications I needed to do my job with informed and educated choices.

From that day my role was going above and beyond.  I was working with schools to get them to come into the home and socialising with the residents which were were building relationships.  I was doing daily one to ones with other residents and both families and friends.  I was offering emotional support for relatives of residents that had just passed.  

Dementia affects everyone directly or indirectly in someway, and it is heartbreaking to see how it affects families and friends.   Where they believe life has come to an end.  Through word of mouth I had new enquiries turn up at the door asking for my help in their own homes, asking if i was offering day sessions one to one. I knew I had to do something.  Looking at what is available there is a huge gap that needs filling.

I would like to firstly continue to deliver this to people in their own homes and nursing homes maybe groups in the community.   I would like to train people to do this role properly where they work to guidelines.  They gain qualifications in relevant care.  Then ultimately I want to create a safe haven for people living with dementia to attend a safe haven,  where not only they receive excellent therapies but their families, friends and carers get the support they deserve.