Tidal Living is a specialist dementia and Alzheimer’s home-care service in London, founded and led by a UKCP-registered psychotherapist.
We support families through every stage of dementia – from the first half-noticed changes to late-stage and end-of-life care, with continuity-first carers and clinical oversight that holds the whole family, not just the daily task list.
Dementia is not one condition but a family of progressive brain changes that gradually affect memory, language, judgement, mood and behaviour.
For most families, the diagnosis arrives long after the changes themselves – and the question that follows is almost always the same: what now, and how do we keep our parent at home?
Specialist dementia home care exists for that question. Done well, it preserves familiar routine, slows behavioural escalation, supports family carers who would otherwise burn out, and keeps the person at home for years longer than they could manage alone.
Our approach to dementia care is shaped by our founder’s background as a UKCP-registered psychotherapist. This means that we treat care as a relational practice first and a task list second. We build slowly, we keep the same small team of carers around one family for years, and we hold the emotional weight of dementia alongside the practical work of personal care, medication & routine. This is what separates specialist dementia care from general home help.
We run a 2-carer rotation model: the same two hand-matched carers come and go on a predictable rhythm, often for years.
By the second month they know the biography of the person, the shape of the family, and the pattern of the dementia. Continuity is the foundation every other part of our care rests on.
Our carers are trained to read mood, agitation and the early signals of sundowning before they escalate. That training is quarterly, not once-off.
Reading dementia well is the difference between a calm afternoon and a crisis — and it is a skill we keep teaching.
A dementia diagnosis does not happen to a single person — it happens to a family. We build the care plan around the spouse, the adult children and the siblings as active participants, not bystanders. Our psychotherapist lead runs family coaching sessions when the system needs help holding together.
We are CQC-regulated, with medication management, safeguarding training, and monthly case review by our registered manager and psychotherapist clinical lead.
The clinical foundation is non-negotiable — everything relational rests on it being solid.
Good dementia care is not a schedule with a person plugged into it. It is a relationship, held carefully over years — and that requires a continuity the task-focused model simply cannot deliver.
Choosing a dementia care provider is one of the most consequential decisions a family makes – you are handing over the keys to your home and the daily care of someone you love.
Families choose Tidal Living because we combine three things that almost no other London agency combines: psychotherapeutic clinical leadership, a 2-carer continuity model that holds across years rather than weeks, and the regulatory rigour of full CQC registration. The result is care that families stay with – our average client tenure is measured in years, not months.
Rare in domiciliary care. Sabbir Ahmed holds full UKCP registration and leads every dementia case.
Same two hand-matched faces, year on year. No rotating rosters. No strangers at the door.
Full Care Quality Commission registration. Every carer DBS-enhanced and reference-checked.
Matched on personality and dementia experience, not on who happens to be free on Tuesday.
Held by a clinician, not a sales agent. No pressure and no follow-up spam.
Registered with the Care Quality Commission
Clinical oversight by a UKCP-registered psychotherapist
Every carer is subject to an enhanced-DBS check and reference-verified
Specialist dementia care is different from general home care in three concrete ways; the training the carer has, the way the rota is built around continuity, and the clinical oversight wrapped around the case. Our specialist dementia carers are dementia-trained on intake and re-trained quarterly on behavioural support, sundowning, life-story work, and de-escalation. Every dementia case is reviewed monthly by our registered manager and our psychotherapist clinical lead, so the care plan evolves with the condition rather than lagging behind it.
Live-in, visiting, overnight, and respite, all delivered by dementia-trained carers with psychotherapist-led clinical oversight.
Dementia changes over years, and the care has to change with it. Some families start with a few hours a week of companionship and supervised medication; others move directly to live-in care after a hospital crisis. We offer the full range, all delivered by the same dementia-specialist team, so you can step care up or down without changing provider and starting again from scratch. Below are the options most families combine.
Daily routine, medication prompts, and companionship for early-stage dementia.
Sleeping or waking-night cover for sundowning, wandering, or incontinence.
Two carers in rotation, continuous presence, the gold standard for middle and late-stage dementia.
Planned and emergency respite, dementia-trained carers, 48-hour handover.
Get professional and personalized home care tailored to your family’s unique needs.
UKCP Registered Psychotherapist
Founder & Director of Care
MPharm, MSc Data Science
Director of Technology & Innovation
We haven’t inspected this service yet
We checked this service was likely to be safe, effective, caring, responsive and well-led during registration.
Whether it’s a few hours of help each week or round-the-clock live-in care, our team focuses on what matters most: dignity, independence and genuine human connection.
Personal care services include support with daily tasks such as bathing, dressing, grooming, toileting, mobility assistance, and overall hygiene. They help individuals stay independent and comfortable at home.
Domiciliary care refers to care provided in your own home. It can include personal care, medication support, companionship, meal preparation, and help with everyday activities.
Yes, services are available across London, offering tailored support for adults, older people, and those with health or mobility needs. Care can be hourly, overnight, or 24-hour depending on the individual.
Domiciliary care agencies London offer trained carers who visit or live with the client, follow a personalised care plan, ensure safety, support daily tasks, and provide companionship. They also review and adjust care as needs change.
Private nursing care in home provides medical or clinical support from qualified nurses. This may include wound care, medication management, monitoring health conditions, and assisting after hospital discharge.
Anyone who needs help to live safely at home—older adults, people with disabilities, long-term conditions, or those recovering from illness or surgery—can benefit from domiciliary care services.
Care can usually begin within a short timeframe after an assessment. Emergency or urgent care can often start sooner based on availability.
The assessment reviews daily needs, health conditions, personal preferences, mobility, medication, and the level of support required. This helps create a clear and personalised care plan.
