Neurological Care at Home Enfield

Ataxia
Ataxia can affect balance, coordination and confidence. Home Instead Enfield can support by helping with safe movement around the home, reducing trip hazards, offering unhurried Personal Care, and assisting with everyday tasks that need fine coordination, such as preparing meals or managing clothing. Care Professionals can also accompany short outings when it feels right, so the person can stay involved in daily life.

Autism
For autistic adults, routines, clear communication and a supportive environment are often very important. Care Professionals from Home Instead Enfield can work with the person and their family to understand sensory preferences, preferred ways of communicating and what feels overwhelming. Support can include structured Companionship Care, help with daily living tasks, gentle encouragement with interests and activities, and calm reassurance during any changes in routine.

Brain stem death
Brain stem death is usually confirmed and managed in hospital. While Home Instead Enfield would not be involved in hospital treatment, Care Professionals can support families before or after this stage, for example by providing care at home when someone is very unwell, offering respite for relatives, and being there with practical and emotional support as families adjust to what is happening and plan the next steps.

Cerebral palsy
Cerebral palsy can affect movement, posture and sometimes communication. Home Instead Enfield can support with transfers and positioning as guided by physiotherapists, Personal Care at the person’s own pace, help with equipment and mobility aids, and practical Home Help to keep the environment organised and accessible. Care Professionals can also support with routines, hobbies, education or work, depending on the person’s stage of life and goals.

Coma and reduced consciousness after coma
A coma itself is treated in hospital, but there are times when someone comes home still needing a lot of support because they are very drowsy, minimally conscious or recovering slowly. Home Instead Enfield can follow hospital and community care plans to support with Personal Care, positioning, turning and comfort, while also helping the family with routines, Home Help and gentle stimulation such as music or conversation, if advised.

Epilepsy
For someone living with epilepsy, Home Instead Enfield can support agreed routines and seizure management plans. Care Professionals can provide medication prompts, help to create a safer home layout, stay observant for known triggers, and offer calm Companionship Care before and after any episodes. They also help with daily tasks and Personal Care, so the person can focus on their wellbeing, work or interests.

Febrile seizures
Febrile seizures are often linked to high temperatures, especially in children. Where someone at home has a history of febrile seizures, Care Professionals can support with day to day care, temperature checks if appropriate equipment is provided, and practical tasks so family can focus on monitoring their loved one. They follow family and medical guidance, and will encourage relatives to seek urgent medical help if there are any worrying symptoms.

Functional neurological disorder (FND)
Functional neurological disorder can cause real and distressing symptoms affecting movement, sensation, speech or vision. Home Instead Enfield can support by following agreed routines and therapy plans, responding calmly to any changes and focusing on what the person can manage each day. Care Professionals can help with Personal Care, mobility, Home Help and companionship, while respecting that symptoms are genuine even if they fluctuate.

Headaches
Frequent or severe headaches can disrupt daily life and make concentration and activity difficult. Care Professionals can help by keeping the home environment quieter and more comfortable when needed, preparing light meals and drinks, and taking care of practical tasks so the person can rest. Home Instead Enfield can also gently support a return to usual routines on better days, working around patterns the person has noticed.

Huntington’s disease
Huntington’s disease can bring changes in movement, mood, behaviour and thinking. Home Instead Enfield can support with Personal Care, safe movement around the home, structured routines and activities that match the person’s interests and current abilities. Care Professionals can also offer patient, non judgemental companionship and give family carers regular breaks, while adapting to changes over time.

Multiple system atrophy (MSA)
MSA can cause problems with movement, balance and autonomic functions such as blood pressure or bladder control. Home Instead Enfield can follow specialist guidance to support with Personal Care, safe transfers, hydration, nutrition and continence care. Care Professionals can also take on household tasks and offer patient companionship, adapting support as symptoms progress.

Muscular dystrophy
Muscular dystrophy can lead to increasing muscle weakness and fatigue. Care Professionals can help with transfers, positioning, Personal Care and the use of mobility equipment, as well as practical tasks that conserve energy. Home Instead Enfield can also support with routines, hobbies, schooling or work, depending on the person’s situation, and work alongside therapists to follow exercise and stretching plans.

Myalgic encephalomyelitis (ME) or chronic fatigue syndrome (CFS)
ME or CFS can cause severe fatigue, pain and cognitive difficulties, and pacing is important. Home Instead Enfield can support with a gentle, flexible routine that respects energy limits, helping with Personal Care, meal preparation and Home Help so the person can use their limited energy on what matters most to them. Care Professionals can also offer quiet companionship and adapt visits if symptoms worsen.

Myasthenia gravis
Myasthenia gravis can cause fluctuating muscle weakness, especially later in the day. Care Professionals can support by planning more demanding tasks for times when strength is usually better, assisting with Personal Care, eating and drinking, and taking on practical jobs around the home. Home Instead Enfield can also provide medication prompts and watch for changes in symptoms highlighted by the family.

Parkinson’s disease
Parkinson’s can affect movement, mood and memory. Home Instead Enfield can support with Personal Care, safe transfers, and allowing extra time for tasks. Care Professionals can help with medication prompts, meal preparation and gentle exercises advised by therapists, as well as offering understanding companionship and structured routines that support confidence.

Peripheral neuropathy
Peripheral neuropathy often causes numbness, pain or weakness in hands and feet. Care Professionals can help by making the home safer, supporting with Personal Care where sensation or grip is reduced, and assisting with tasks such as buttoning clothes, preparing meals and handling hot drinks safely. Home Instead Enfield also focuses on comfortable footwear and clear walkways, as advised by health professionals.

Post polio syndrome
Post polio syndrome can bring new weakness and fatigue years after the original infection. Home Instead Enfield can support with pacing daily activities, providing Personal Care, and taking on Home Help tasks that have become tiring, such as cleaning, shopping or making beds. Care Professionals can encourage rest and gentle activity in line with medical advice, and provide companionship that respects the person’s long experience of managing their health.

Progressive supranuclear palsy (PSP)
PSP can cause problems with balance, eye movements and thinking. Care Professionals can support with safe mobility, Personal Care and fall prevention, using clear, simple communication and lots of time for responses. Home Instead Enfield can help keep routines predictable, provide practical Home Help and offer reassurance to both the person and their family as needs change.

Transverse myelitis
Transverse myelitis can cause weakness, pain and changes in sensation or bladder and bowel function. Care Professionals can support with Personal Care, safe mobility, continence routines and exercises recommended by therapists. Home Instead Enfield also helps with Home Help tasks and companionship, adapting support as recovery progresses or if there are longer term effects.

Trigeminal neuralgia
Trigeminal neuralgia can cause sudden, severe facial pain. Home Instead Enfield can support by helping to identify and avoid known triggers where possible, preparing soft, easy to eat foods, and taking on tasks that are especially difficult during pain episodes. Care Professionals provide gentle companionship and practical help so the person does not feel they have to cope alone when pain flares.

Chronic headaches and migraine
For people living with frequent headaches alongside migraine, Care Professionals can help by keeping routines steady, supporting with regular meals and drinks, and creating a quieter environment when pain is at its worst. Home Instead Enfield can also take on household tasks and gently support a return to normal activities when symptoms ease, always working around medical advice and the person’s own patterns.

Meningitis (after hospital care)
After meningitis, someone may be left with fatigue, hearing or vision changes, memory difficulties or other long term effects. Home Instead Enfield can support with Personal Care, gradual return to daily routines, attending follow up appointments and practical Home Help so the person is not overwhelmed. Care Professionals can adapt visits as recovery continues and keep families updated with agreed observations.

Bell’s palsy
Bell’s palsy can affect facial movement and confidence. Care Professionals can support with eating and drinking if this is tricky, encourage gentle facial care as advised by clinicians, and offer reassuring companionship so the person does not feel isolated or self conscious. Home Instead Enfield can also assist with eye care routines if needed, following professional guidance.

Guillain Barre syndrome (during recovery)
Recovery from Guillain Barre syndrome can be slow and tiring. Home Instead Enfield can support with graded daily activities, Personal Care, safe mobility and transport to therapy or medical appointments where appropriate. Care Professionals can take on heavier Home Help tasks so the person can focus their energy on rehabilitation and rest, and provide encouragement as small steps of progress are made.

Structural neurological disorders
Structural neurological disorders, such as certain spinal or brain abnormalities, can lead to a wide range of symptoms. Care Professionals adapt to the specific needs and medical advice in each situation, supporting with Personal Care, mobility, positioning and Home Help. Home Instead Enfield also offers companionship and reassurance, helping the person and their family manage day to day life with a condition that may be complex or rare.

Care Professionals are at the heart of Neurological Care at Home. Home Instead looks for people who are patient, dependable and genuinely interested in others, then provides thorough training and ongoing guidance so they can offer safe, thoughtful support for a wide range of neurological conditions.

Consistency is especially important. As far as possible, the same familiar Care Professionals will visit regularly. This helps build trust, makes communication easier and allows them to notice small changes in mobility, mood, speech, thinking, pain levels or general health, which can then be shared with you and, where appropriate, with other professionals.

During Personal Care, Care Professionals work at the person’s pace, breaking tasks into simple steps and explaining what they are doing. They encourage independence where it is safe, whether that is standing up from a chair, brushing teeth, choosing clothes or managing part of a wash themselves. Small details, such as how someone wears their hair, which clothes feel comfortable with their symptoms, or how they like their tea, are treated with the same respect as larger decisions.

Care Professionals also:

• Follow moving and handling guidance so that transfers and positioning are as safe and comfortable as possible
• Use calm, clear communication, including visual prompts or written notes if these are helpful
• Record visits carefully, including any seizures, changes in symptoms or worries raised by the person or family

With permission, they stay in contact with family members, sharing observations and listening to concerns. This partnership approach helps everyone feel more confident about what is happening, what to look out for and when to ask for further help.

How do you tailor neurological care at home to the individual?
Support always starts with listening. The team will talk with you and your loved one about the diagnosis, current abilities, symptoms, what feels hardest and what matters most day to day. They also consider any advice already given by doctors and therapists. From this, a personalised care plan is created, which might include a mix of Companionship Care, Home Help, Care at Home visits, Dementia Care and Personal Care. As the condition changes, the plan can be reviewed and adjusted so it continues to feel appropriate, achievable and genuinely helpful.

Will my loved one still have privacy and independence?
Yes. Protecting dignity and independence is central to how Care Professionals work, especially when someone is living with a neurological condition that may already make them feel they have lost control. Care Professionals only step in where support is needed and safe, encouraging the person to do what they can for themselves, even if that is just one small part of a task. Personal Care is always carried out respectfully, with clear explanations, closed doors or curtains for privacy, and plenty of time. Everyday choices, such as what to wear, when to eat, how to spend time and which routines feel comfortable, are respected wherever possible.

What happens if needs change over time?
Neurological conditions can change gradually or more quickly, and symptoms can fluctuate from day to day, so flexibility is built into the way Neurological Care at Home is organised. The office team and Care Professionals keep an eye on how things are going and will talk with you if they notice any changes, such as more falls, altered speech, new pain or increased confusion. Visit times, length of visits and the type of support provided can usually be increased, reduced or reshaped. If new risks or concerns arise, the care plan will be reviewed so that support remains safe, appropriate and in line with current needs and wishes.