Long term care often arises because elderly people can no longer manage a number of daily living activities without help and it is envisaged this will occur for their lifetime. It comprises of support with daily living activities like washing, dressing or walking and can be provided in the person’s house, in a residential home or nursing home.

Elderly home care is very much a personal matter and relatives battle for the best quality of care for their family. Home care firms that depend on local authority rates would possibly not be in a position to seek the standard of staff they would wish for. Aside from minority of terrible tales told in the media, frequent protests are about low paid domiciliary care staff as a result of absence of qualifications, and very little practical knowledge. Other areas for concern may include communication issues with English language, working a small fraction of the allotted time, negative outlook, turning up late or failing to turn up. Qualified, experienced and dependable elder home care staff enjoy better rates of pay and this is mirrored in the home care service supplier’s costs of exclusive personal home care.