Home care led by a psychotherapist, built for families
- Home
- About Tidal Living | Psychotherapist-Led Dementia Care London
About Us
Tidal Living was founded by Sabbir Ahmed, a UKCP-registered psychotherapist who spent more than a decade sitting with families navigating later life, grief and dementia. He built this service because most home care is organised around tasks – and tasks are only the visible tip of what families actually need. Our work is relational first: we listen to the whole family system, we match carers who can hold difficult emotion as well as the morning routine, and we are CQC-regulated so that the clinical foundations are solid.
CQC-regulated · UKCP-registered founder · Central & Inner London
Our Founder: Sabbir Ahmed (UKCP)
UKCP-Registered Psychotherapist & Founder

Sabbir is a UKCP-registered psychotherapist who has spent over a decade working with families through later-life transitions — grief, dementia diagnosis, the slow reorganisation of family roles that a progressive illness forces.
Before founding Tidal Living, he worked as a senior clinician in NHS mental health services, where safeguarding and family systems were central to his practice. Tidal Living is his answer to a question which kept coming up in therapy rooms: why doesn’t home care work the way families actually need it to work?
Our Team
The people who do the work. You’ll meet your carers at your family consultation;
here’s the rest of the team standing behind them.

Umar Alvi
Head of Technology
Umar is a pharmacy and data science graduate who specialises in AI and smart tech implementation at Tidal Living, including accurate medication management and assistive technology.
Umar’s focus on data safeguarding and technological innovation ensures that the technologies we use at Tidal Living are efficient, safe and up-to-date.
Why Relational Care Matters in Dementia
A dementia diagnosis doesn’t just happen to the person. It happens to the whole family system. The adult daughter who suddenly becomes a carer. The spouse who is grieving someone still in the room. The siblings who disagree about how to handle it. Task-based home care, which normally covers medication, personal care, and/or meals, doesn’t touch any of that. Relational care does.
Every carer we place is trained not only in dementia-specific practical skills but in how to sit with difficult emotion, how to hold a moment of confusion without shaming, how to coach the family as much as the person. That’s the difference a psychotherapist-led service makes. Learn more about our specialist dementia home care London.
Our Two-Carer Continuity Model
Dementia progresses, but the person’s need for familiarity only deepens. A rotating cast of unfamiliar carers can trigger fear, agitation, and the kind of behavioural distress families find hardest to manage. Continuity of caregiver isn’t a scheduling nicety in dementia care. It protects identity and self-esteem at exactly the point when both are under threat. Our rota is built around that reality.
Every family we take on is matched with two named carers: one primary, one secondary. Both know the home, the routine, and the life-story of the person in care. When one is on leave, the other steps in. New carers shadow for forty-eight hours before taking over a shift, never cold. And the care plan that documents what works for this specific person is kept living, updated monthly by our registered manager and clinical lead, so the understanding we build stays with the family as the condition changes.
Two named carers per family
One primary, one secondary. Both know the household, the routine, and the person’s history. Continuity even when someone is on leave.
48-hour shadowing before handover
New carers joining a rota shadow the existing carer for two full days before taking a shift alone. No cold introductions at the door.
A care plan that lives and breathes
Monthly review by our registered manager and clinical lead. The plan evolves with the condition rather than sitting on a shelf.
Our Approach to Dementia Care
At Tidal Living, we involve our service users in all stages of the care plan process, co-producing our care and support plans with our service users. We include our service users in collaborative discussions with themselves, their loved ones, and our team at Tidal Living, following NICE guidance on individualised care to improve service user experience and client and outcomes.
Our approach to shared decision-making (SDM) is rooted in evidence-based practice, as outlined in the British Journal of Medicine by Montori and colleagues (2022), supporting our service users to make informed choices about their care and support preferences and needs which align with their values.
This underpins our practice in alignment with Regulation 10 of the Health and Social Care Act, which outlines that every client should be treated with dignity and respect, placing upon us a responsibility to communicate compassionately with you and recognise your personal preferences. At Tidal Living, we also comply with Regulation 11 of the Health and Social Care Act, ensuring that informed consent underpins all aspects of care and support provision in our service.
By working with you in addition to the professionals who work with you, such as GPs, nurses and pharmacists, we ensure that health considerations inform every aspect of your care and support, adopting a holistic, evidence-based approach to care provision.
In drafting up your care plan, we take into consideration your personal history, preferences and interests in addition to your unique background and protected characteristics, as recommended by the CQC in implementing person-centred care. This aligns with the CQC’s framework of person-centred care, reflecting your physical, emotional, mental and social needs and preferences in a care plan uniquely individualised and personalised to you.


Our Story
At Tidal Living, our mission is to empower people across Inner London and beyond to live well at home and thrive, via compassionate, evidence-based and reliable support, no matter your age, ability or background.
We envision a future in which emotional wellbeing, community connection and physical and mental health are at the heart of home care delivery, setting a benchmark for best practice in care provision across London.
Our Values
At Tidal Living, our core values are compassion, kindness, promoting service user dignity and respect, celebration of diversity and including service users of all backgrounds and walks of life, in addition to a commitment to punctuality and reliability.
Above all, we at Tidal Living strive to provide you with the highest quality of care; evidence demonstrates that commitment to continuity and professionalism by care providers fosters and protects client identity and self-esteem.

Why Tidal Living?
At Tidal Living, we provide fast, responsive on-boarding for our service users, in which we provide rapid, responsive care within 24 hours in critical, urgent scenarios where our service users need it.
In addition, we are committed to community partnerships, working with community organisations such as community centres and places of worship in addition to statutory agencies, such as the NHS, and volunteer networks to foster belonging, ensure the best possible standard of care and reduce service user isolation, and connecting our service users with their neighbourhoods and communities.
Furthermore, we at Tidal Living are committed to transparent governance, ensuring that our policies and operating procedures are in line with CQC best practice guidance and regulations from Day One, in addition to being transparent about our care service and what we offer at Tidal Living to all stakeholders, such as service users, their families and other statutory agencies such as the NHS.

Areas We Cover
Tidal Living provides home care across Central and Greater London. We are based in Inner London, and our two-carer continuity model is built to serve clients within reliable travelling distance of our office, ensuring that carers arrive on time and stay long enough to do the work properly.
Places we serve:
- City of London
- London Borough of Hackney
- London Borough of Islington
- London Borough of Camden
- London Borough of Westminster
- London Borough of Kensington and Chelsea

Not sure?
Not sure if your area is covered? Call us on 0203 576 1970 or send a quick enquiry. We’ll tell you within the same day, and if you’re just outside our area we can usually point you to a trusted neighbour provider rather than leave you starting again.
Have questions about caring for a loved one with dementia at home?
Our dedicated team is here to help. We can:
- Listen to your situation
- Explain home-care options
- Suggest appropriate next steps
Compassionate Trusted Home Care in London (24/7)
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.