Domiciliary Care Services in London
CQC-registered, psychotherapist-led home care that supports your loved one’s wellbeing, empowering you and your family to take care of your loved one with care techniques that make a difference.
At Tidal Living, we believe home care should do more than help with daily tasks.
Every care plan is informed by psychological principles, guided by a UKCP-registered psychotherapist, and built around the person, not the condition.
Whether your loved one needs a few hours of support each week or round-the-clock care at home, we are here.
At Tidal Living, we help with…
- Designing personalised care plans informed by psychology, so your loved one receives support that fits who they are, not a generic routine
- Managing emotional and behavioural changes, so daily life feels calmer and more predictable for everyone involved
- Supporting physical health and medication routines, ensuring nothing gets missed and your loved one stays safe at home
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- Assessing and adapting the home environment, reducing risks and building confidence for both client and family
- Guiding family carers at every stage, ensuring you feel informed, supported and never alone in this
What is Domiciliary Care?
Domiciliary care, also known as home care, is professional support provided to individuals in their own home. It covers a wide range of needs, from help with washing and dressing to complex care for conditions such as dementia, Parkinson’s or post-surgical recovery.
Unlike a care home, domiciliary care allows your loved one to remain in the place they know best: surrounded by familiar routines, their own belongings, and the people they love.
Research consistently shows that remaining at home supports better emotional wellbeing, cognitive health and quality of life, particularly for older adults and those living with long-term conditions.
At Tidal Living, our domiciliary care is distinguished by something most home care agencies cannot offer: every care plan is overseen by Sabbir, a UKCP-registered psychotherapist, ensuring that emotional and mental wellbeing receives as much attention as practical daily support.
We combine specialist home care with evidence-based psychological approaches so your loved one can stay in the place they know best, while you feel supported, understood and less alone.
How Our Therapeutic Dementia Home Care Can Support Your Loved One
At Tidal Living, we provide psychotherapist-led home care that attends to the whole person: their emotional wellbeing, cognitive health and practical daily needs, not just a checklist of tasks.
- We design every care plan around the individual, drawing on psychological principles to ensure support is personalised, consistent and genuinely responsive to how your loved one is feeling, not just what they need help doing.
- Evidence-based approaches inform everything we do, from how our carers communicate during personal care routines to how we structure the day to reduce anxiety and build a sense of calm and predictability.
- We support physical health and medication management with pharmaceutical-grade rigour, helping prevent missed doses, monitoring for side effects and maintaining clear communication with your loved one’s GP or pharmacist when needed.
- We give you practical tools for the moments that feel hardest: when your loved one is distressed, withdrawn, resistant to care, or behaving in ways you do not recognise.
- We help you understand what is happening and how to respond in a way that reduces conflict and preserves the relationship.
- We guide the whole family, not just the person receiving care. Whether you are living with your loved one, visiting regularly, or coordinating care from a distance, you will have a consistent point of contact and the support of a team that includes a registered psychotherapist.
- Our ongoing carer support means you are never left to figure things out alone. As your loved one’s needs change, we adapt — so the care evolves with them rather than falling behind.
Our Services
We provide structured home care and support after illness, injury or hospital discharge, helping your loved one rebuild confidence and independence at home.
Flexible, visit-based support, from a single daily visit to multiple calls throughout the day, built around your loved one's routine.
A dedicated carer living in the family home, providing continuous, relationship-based support around the clock.
A carer present through the night, providing reassurance, safety monitoring and support when it matters most.
Specialist psychotherapist-led dementia care, combining evidence-based approaches with compassionate daily support.
Warm, consistent company for individuals at risk of loneliness or social isolation — conversation, shared activities, and genuine connection.
Practical support with household tasks, including cleaning, laundry, shopping and meal preparation, to keep the home running smoothly.
Rapid-response care at home, when a sudden change in circumstances means support is needed without delay.
Tailored support for complex or long-term conditions, including Parkinson's, MS, stroke recovery and acquired brain injury.
Live-in Care in London
For some families, visiting care is not enough. When your loved one needs someone present through the day and the night, or when managing a complex condition means continuity of relationship matters as much as continuity of support, live-in care offers something that hourly visits cannot: a dedicated carer who is there.
At Tidal Living, our live-in carers do not simply move in and follow a task list. They are matched to your loved one based on personality, interests and clinical need, trained and supervised under the direct oversight of Sabbir Ahmed (UKCP-registered psychotherapist), and integrated into the rhythm of daily life in a way that feels like support, not an intrusion.
Live-in care from Tidal Living may be the right choice if:
- Your loved one can no longer safely manage at home alone, but does not want — or need — to move into a residential facility
- A family member is living with dementia, Parkinson’s or another progressive condition and benefits from a consistent, familiar face every single day
- Your loved one has experienced a fall, a hospital admission or a sudden decline and needs intensive support while they recover or stabilise
- You live at a distance and need the reassurance of knowing that someone trusted is always present
- You are a live-in family carer who is exhausted and needs to step back, without stepping away entirely
What makes Tidal Living’s live-in care different is the clinical structure behind it. Every live-in placement is supported by ongoing supervision, regular care plan reviews and direct access to our psychotherapy-informed team. Your loved one’s emotional and cognitive wellbeing is monitored alongside their physical health — because decline often shows in mood and behaviour before it shows anywhere else.
Live-in care is also, for many London families, a more cost-effective alternative to a care home once hourly care needs exceed a certain threshold. We can help you compare your options honestly during a free care assessment.
Respite and Holiday Care for Family Carers in London
If you are the primary carer for a loved one at home, you will know that the care you give does not pause. It does not take evenings off, it does not take weekends, and it rarely gives you the space to look after yourself. Over time, that weight accumulates, and the research is clear that carer burnout does not just affect the carer. It affects the quality of care their loved one receives too.
Respite care is not a luxury. It is a clinical and practical necessity, for you, and for the person you are caring for.
At Tidal Living, we provide planned respite care for family carers across London: whether you need a few hours each week to rest, a full day to attend to your own health appointments and responsibilities, or a block of cover while you take a holiday for the first time in months or years. We step in, reliably, compassionately and without disrupting the routines your loved one depends on.
Respite care from Tidal Living may be the right fit if:
- You are the sole or primary carer for a family member and have no regular time away from that role
- You need planned, recurring cover — weekly, fortnightly or monthly — so you can maintain your own wellbeing consistently, not just in a crisis
- You want cover while you travel, attend an event or simply have uninterrupted time to yourself, knowing your loved one is in safe, qualified hands
- Your loved one has complex needs — including dementia, Parkinson’s or physical frailty — and you need a carer with specific training and clinical supervision behind them, not just a friendly face
- You are approaching exhaustion and need immediate, short-notice support while you consider longer-term care arrangements
What we know at Tidal Living is that families often contact us about respite care when they have already been carrying too much for too long. Our care coordinators are trained to respond without judgement — to listen first, assess thoroughly, and put care in place quickly. Sabbir’s involvement means that where a loved one’s emotional response to a new carer needs careful management, we have the clinical expertise to handle that transition with skill.
Respite care can be arranged as a one-off, a recurring booking, or a flexible package that evolves as your needs change. There is no minimum commitment.
Why Choose Tidal Living
At Tidal Living, our unique strengths are:
Holistic, Psychotherapist-led Care
Our director Sabbir Ahmed (UKCP-registered psychotherapist) personally oversees every care plan at Tidal Living. This means your loved one's emotional and cognitive wellbeing is given as much clinical attention as their physical needs, something no standard care agency provides. Every carer is trained and supervised using psychotherapeutic principles, ensuring consistent, person-centred practice across every visit.
Continuous supervision & reflective practice
Our director, Sabbir Ahmed (UKCP-registered psychotherapist), provides regular clinical supervision and training, and all carers take part in reflective practice groups. This reflection and supervision is linked with better person-centred care, higher quality of practice, crucial when supporting people and families living with dementia.
Data-informed care & pharmacy expertise
Alongside human relationships, we use safe, GDPR-compliant technology to monitor patterns in wellbeing, medication administration and risk, led by a team with pharmaceutical and data analytics expertise.
Our co-director Umar Alvi (MPharm, MSc Data Science) brings clinical pharmacy knowledge into every aspect of our medication management approach. At Tidal Living, psychological and pharmaceutical expertise work together.
Person-centred & relationship-focused
We match carers to clients based on personality, shared interests and clinical need. Families are involved in shaping every care plan from the outset. Our goal is not a roster of tasks completed; it is a consistent, trusted relationship that makes daily life better for your loved one and less frightening for you.
Who Is Domiciliary Care For?
Domiciliary care supports a wide range of individuals and situations. You may be considering home care if:
- Your loved one is an older adult finding daily tasks increasingly difficult to manage alone.
- Someone in your family is living with dementia, Parkinson’s, MS or another long-term condition and needs consistent support at home.
- A family member is recovering from a hospital admission, surgery or stroke and needs structured reablement support before returning to full independence.
- You are a family carer who is exhausted, stretched or simply needs regular, reliable relief.
- A younger adult in your family is living with a disability or acquired condition and wants to remain at home with professional support.
- You need emergency or short-notice care following a sudden change in circumstances.
Whatever the situation, a Tidal Living care coordinator will listen first — and then help you find the right level of support.
How Much Does Domiciliary Care Cost in London?
The cost of home care in London varies depending on the level of support required, the frequency of visits, and whether care is self-funded or arranged through a local authority assessment.
At Tidal Living, we offer a free, no-obligation care assessment so you can understand exactly what support your loved one needs and receive a clear, personalised quote, with no pressure and no hidden fees.
Some individuals may be eligible for funding through the NHS (particularly those qualifying for NHS Continuing Healthcare), through a local authority needs assessment, or through Personal Independence Payment (PIP). We can advise you on the options available during your assessment call.
Let Us Help You Care for Your Loved Ones!
Ready to stop carrying the burden on your own shoulders and get qualified care to enhance your loved one’s daily life? Let’s start the conversation.
Sabbir Ahmed
UKCP Registered Psychotherapist
Founder & Director of Care
Umar Alvi
MPharm, MSc Data Science
Director of Technology & Innovation
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
Frequently Asked Questions
Domiciliary care, also called home care, is professional support delivered to individuals in their own home. It encompasses personal care, practical help, medication support, companionship and specialist care for conditions including dementia and Parkinson's. It allows your loved one to remain at home rather than moving to a residential facility.
A Tidal Living carer provides support with personal hygiene, dressing, medication prompting, meal preparation, light housekeeping, mobility assistance and companionship. All carers are trained and supervised using our psychotherapist-led model, and matched to each client individually.
Home care costs in London vary based on the type and frequency of support. Tidal Living offers a free care assessment and personalised quote with no obligation. Some clients may be eligible for NHS or local authority funding — we can advise on this during your assessment.
The NHS may fund domiciliary care in specific circumstances, most commonly through NHS Continuing Healthcare following a hospital discharge. Most home care is self-funded or arranged via a local authority assessment. Our care coordinators can help you understand your options.
Domiciliary care allows your loved one to remain living in their own home while receiving professional support from a visiting or live-in carer. A care home involves a move to a residential facility. Many families choose home care to preserve their loved one's independence, familiar surroundings and daily routine.
Yes. Tidal Living is registered with the Care Quality Commission (CQC), the independent regulator of health and social care in England.