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Help with care in your home

Older man with dog

Most of us want to live independently in our own homes for as long as possible. As we get older, we may need support and assistance to enable us to do so.

This can take the form of personal care, making our home more suitable for our needs or financial assistance from benefits or elsewhere.

Help you might be able to get includes:

  • Personal care
  • Help to manage and feel safe at home
  • Financial assistance
  • Health services
  • The local authority social services department is the main state provider of assistance.

As an older person you will almost certainly be entitled to an assessment to establish what your needs are and suggest how those needs can be taken care of.

Each local authority sets eligibility criteria, which are rules identifying the services they will provide for different levels of need. Even if you do not want your authority to arrange services for you, the assessment is useful as a way of identifying what services might benefit you.

Contact your local authority social services department and ask them to carry out an assessment of your needs. Their number should be in the phone book or call our Advice Service on 0808 808 7575 for further assistance.

Personal care


Personal care means help with tasks like getting up and getting dressed, washing and bathing. Providers of this kind of care include social services, private care agencies and voluntary organisations.

Across Northern Ireland, agencies that provide personal care workers have to be registered with the regulatory body for care services and are regularly inspected to ensure that minimum standards are met. If you need personal care or assistance with your essential daily tasks, you may be eligible for Attendance Allowance or Disability Living Allowance.

Information on living independently and employing care workers is available from the opens link in new window National Centre for Independent Living website.

Help with your house and garden


You may require help with housework, gardening, shopping, laundry and other day-to-day tasks. Many local authorities only offer limited assistance with these. Local voluntary organisations, including Age UK and Age Concern groups, may run services or you can employ someone privately.

Meals at home

Local authorities should provide meals at home to those who need them, either directly or through a voluntary organisation or private agency.

Some deliver hot meals, others provide frozen meals and a means of heating them. Any arrangement should take account of what you can manage: you should not be left with frozen meals if you will not be able to heat them up.

Local health services

Your GP can give you information about local services. These might include home visits from the district nurse or health visitor, chiropody, continence advice and other services. Service levels are set locally so may vary from area to area.

For information on local health services and organisations visit opens link in new window Health & Social Care Services in Northern Ireland

Local voluntary organisations and charities operate in most areas. They may deliver services on behalf of the local authority but can be particularly useful in covering activities that your local authority does not provide. Examples include gardening and handyperson services, befriending schemes and social activities.

Is there any help for people who look after me?


You may be helped by a family member or friend rather than a paid care worker. That person is a carer even if they do not realise it.

When looking at your needs, the local authority should not make assumptions about how much support your carer can provide. Nor should your carer feel pressured to do more than they can comfortably cope with.

Your carer is also entitled to ask for their own needs assessment. Carers can receive services to help them carry out their caring role. Often what carers find most valuable is the opportunity to have a break from their responsibilities, even for a short time (see below).

Financial support for carers is not generous. There is a benefit called Carers Allowance paid to carers who provide more than 35 hours’ care for a disabled person but the amount payable is low and any other income your carer has may affect their eligibility.

Carers can often benefit from sharing their experiences with other carers. There may be a group in your area where carers can support each other – Visit the opens link in new window Carers UK website or call them free on 0808 808 7777 for information about help available to carers.

‘My befriender comes in for a chat, a cup of tea and a chocolate biscuit. It is the highlight of my week.’

Short breaks for you or your carer

You or your carer may need a break to recharge your batteries. Services provided to enable you to do this are known as respite care.

It might involve a short stay in a care home or other residential establishment. Even a break for a short time, such as an afternoon to go to the cinema or attend a social club, can make a big difference to the person concerned.

Ask your local authority for information about respite care, including how it is charged for.

Moving to more suitable accommodation


The time may come when your current home is no longer suitable for you, even with care and support there. At this stage there are alternatives to moving into a care home. For some this may simply involve downsizing to a more manageable property.

Many older people consider moving in with their children or other relatives. This can work very well but it is important that everyone has a realistic understanding of what will be involved, particularly if you may need increasing levels of care in the future.

Sheltered housing is purpose built with the needs of older residents in mind. There are also increasing numbers of extra care sheltered housing developments, which offer a high level of support to residents while retaining a higher level of independence than in a traditional care home.

Problems and complaints

If you have a problem with a service provider, first try to resolve it through informal discussions with them. If this does not work ask about the complaints procedure. Complaints about standards of personal care can also be raised with the opens link in new window Care Quality Commission.

If the local authority has arranged your care, it retains responsibility for making sure that your care is suitable. Each local authority has to operate a complaints procedure and produce information about how to complain.

The NHS and local social security agencies also have to have complaints procedures - ask the office you are dealing with for details.

Your Age NI

Set your location to see what Age NI offers in your local area.

Age NI Advice:
0808 808 7575

Home & care publications

  • Guides and factsheets aimed to keep you informed about issues surrounding home and care.

    Download and share our Community Care factsheets.

      View all home & care downloads Help with Downloads

      Downloads

      What is a download?

      A download is a document (like a research report, a leaflet, or an application form) that can be transferred from our website to your computer. You can download a file, view it on your screen, print it, or save it to your computer.

      What is a PDF?

      PDF stands for ‘portable document format’.

      Most downloads on this website are PDFs. We use this format to ensure that the document looks the same on everyone’s computer (website pages, by contrast, appear differently depending on how people have got their computer set up).

      How do I download a PDF?

      Computers use a program called Adobe Acrobat Reader to download PDFs. If you try clicking on a link to download a PDF and it doesn’t work, you will need to install Adobe Acrobat Reader onto your computer.

      How do I install Adobe Acrobat Reader?

      The process is quite straightforward and is free.

      1. Go to opens link in new window http://get.adobe.com/uk/reader/
      2. Click ‘Download’.
      3. Wait for the window to offer you the option to ‘Run’, then choose this option.
      4. Click ‘Next’.
      5. Click ‘Install’
      6. Wait for the window to offer you the option to ‘Finish’, then choose this option.

      How do I change a download?

      PDFs cannot be changed. If you need to be able to type into a downloaded document (for example, if we are offering a letter template that you need to put your name on) we will provide it as a Microsoft Word document rather than a PDF. You can then download it, type into it and save it to your computer.

      How do I print or save a download?

      Downloads will open on your computer in a new browser window.

      Inside this window (below all your web browser menus), there will be a toolbar with options for you to print or save the document.

      Close the browser window to return to the Age UK website.

      Can my screen reader read PDF downloads?

      We have made every effort to make our PDFs accessible to screen readers. Here is an overview of your accessibility options available in Acrobat Reader. Please ensure that you have downloaded the latest version of Acrobat Reader from the Adobe Reader website to ensure that they are included in your version of the programme.

      You can use Adobe Reader to read a PDF out loud with the following shortcut keys:

      • Read the document: Shift +Ctrl+Y
      • Read the open page only: Shift +Ctrl+V
      • Read to the end of the document: Shift+Ctrl+B
      • Pause: Shift+Ctrl+C
      • Stop Shift+Ctrl+E


      You can also convert a PDF into a web page by following these steps:

      • Copy the URL (web address) of the document (right-click on the link and select ‘Save target as’ or ‘Copy link’).
      • Open the Adobe online conversion tool in your browser and paste the URL into the URL box.
      • Tick the HTML box on the Format option and click ‘Convert’.


      You can convert a PDF document into a text file for use with other software and hardware such as Braille printers by opening the PDF and choosing ‘Save as text’ from the File menu.

    Useful websites

    • Advice from NI Direct government services on support and safety in your home.

    • The Warm Homes scheme is funded by the Department for Social Development, to make your home warmer, healthier and more energy efficient.

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