Home From Hospital

Home From Hospital Service

Our Home From Hospital Service provides safe, seamless, and person-centered support that enables adults to return home confidently after a hospital stay. We work closely with hospitals, rabblement teams, discharge coordinators, and community health professionals to ensure a smooth transition, reduce delays in discharge, and help individuals regain independence quickly and safely.

Our Approach

We deliver a rapid-response, outcomes-focused service designed to support recovery, prevent re-admission, and promote wellbeing, using our Digital Care Management Environment (DCME) to coordinate care in real time.

Our team ensures every individual has the right support in place from the moment they step through their front door.

What the Service Includes

Safe Discharge & Settling-In Support

  • Meeting individuals at home following discharge

  • Checking the home environment for safety

  • Ensuring heating, lighting, and essential utilities are working

  • Immediate support with mobility, positioning, and fall prevention

  • Preparing a first meal, drinks, and hydration support

Personal & Practical Care

  • Assistance with bathing, dressing, toileting, continence care

  • Medication prompts, administration, and reordering

  • Meal preparation and nutritional monitoring

  • Light household tasks to maintain a comfortable environmen

Recovery & Rabblement Focus

  • Support to rebuild daily living skills

  • Goal-focused care planning to regain confidence and independence

  • Working in partnership with physiotherapists, occupational therapists, district nurses, and GPs

  • Encouraging safe mobility and progressive activity

Emotional & Social Support

  • Reassurance and companionship

  • Supporting individuals to adjust after illness or injury

  • Encouraging engagement with community and wellbeing activities

Preventing Re-Admission

  • Monitoring wellbeing and early identification of deterioration

  • Liaising with health professionals when concerns arise

  • Coordinating follow-up care, clinics, and medication reviews

  • Supporting individuals to access GP, pharmacist, or community nursing services

Digital Care Management & Reporting

Through our DCME System, we provide:

  • Real-time visit tracking

  • Digital care and support plans

  • Secure communication logs

  • Risk management and alerts

  • Transparent reporting for commissioners and families


Who We Support

We support adults aged 18+ who:

  • Are being discharged from hospital but require short-term support

  • Need help regaining independence

  • Have long-term conditions or disabilities

  • Are at risk of re-admission without structured support

  • Require ongoing domiciliary, complex, or supported living services after recovery


Our Staff

All staff are:

  • Enhanced DBS-checked

  • Fully trained to Care Certificate and All Wales Induction Framework standards

  • Skilled in reablement, medication care, mobility support, and post-discharge recovery

  • Supervised by our Registered Manager, a former nurse and Clinical Associate, ensuring clinical insight and robust governance


Key Outcomes

  • Faster and safer discharge

  • Reduced hospital re-admissions

  • Improved independence and daily living skills

  • Better health and wellbeing

  • Greater confidence for individuals and families

  • Stronger integration across health and social care

Areas We Cover

We provide Home From Hospital Service across:
London, Kent, Essex, Surrey, Greater Manchester, Merseyside, Wiltshire, and Somerset, with expansion into surrounding areas.

This localised model means we recruit carers locally, ensuring familiarity with the community and reliable, on-time support.

The Care Quality Commission (CQC) is an independent regulator of health and social care services in England. Being regulated by CQC ensures that care providers, like your domiciliary care and supported living services, meet rigorous standards of quality, safety, and compassion.