Better Healthcare starts with a Better Home Care Plan
Empowering Recovery
Leaving hospital should be the start of a period of relaxation and recovery, but for many it can feel overwhelming. In fact, around 1 in 7 patients in England are readmitted within 30 days of going home, usually because they are not getting the right care, or support after discharge.
When The Unexpected Happens
Taking control of your discharge sometimes starts with your phone.
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Sometimes Discharge from Hospital Can Be Complicated
Whether you're preparing for a care assessment, setting up legal safeguards for the future, or navigating the journey of personal recovery, CareCoaching offers a range of tailored services to support you with clarity, structure, and empathy. Appropriate home care and support after discharge is important for recovery. Getting the right care after leaving hospital can dramatically reduce your chances of readmission. Spending extra days in hospital waiting for discharge can really take a toll recovery plans and makes recovery at home much harder and longer. For older or more vulnerable patients, each extra day in the hospital can mean an additional week, or more, of recovery time spent at home.
Before you leave hospital, someone should sit down with you to talk through what support you might need once you’re back home. This includes checking whether you might qualify for NHS Continuing Healthcare — and that should always happen before anyone looks at NHS‑Funded Nursing Care (FNC) or a Community Care Assessment. You should also have a needs assessment before Social Services ask anything about your finances. That’s because you’re entitled to an assessment of your care needs no matter who ends up paying for the support — whether the local authority funds it or you pay privately.
The Creating Your Care Plan: A Comprehensive Guide to Self-Directed Assessments is available on Amazon
The Care Plan Assistant App
The Care Plan Assistant is a free App, which allows care service users prepare for a self-directed assessments works by assessing the care users input data, current health status and any limitations that may affect their daily activities. This evaluation will help them determine what assistance the need, whether it’s help with personal care, mobility support, medication management, menu modification, social activities, physio and wellness, outdoor activities or emotional support.
Once you have a clear picture of your health needs, and how your lifestyle factors into the equation. The app helps you to create a Care Plan that prioritise care needs based on health and lifestyle, you can document your daily routines, social activities, and personal preferences, all of which play a significant role in recovery and overall quality of life. For instance, if you enjoy gardening or reading, planning your care around these activities can enhance your mental well-being. Understanding your unique circumstances and health requirements allows you to create the optimum care plan.
Prepare For Care and Making An Advance Statement
You may not need a care assessment straight away, but if you're already thinking about your health and future, writing an Advance Statement is a valuable first step. An Advance Statement is a personal record of your wishes, feelings, beliefs, and values—helping to guide others if you become unwell and need care or medical treatment.
Understanding Your Advance Statement
The main purpose of an Advance Statement is to ensure that if you ever lose the ability to make or communicate decisions, those around you—whether family, carers, or healthcare professionals—have a clear understanding of what matters most to you. While an Advance Statement is not legally binding, healthcare professionals must take it into account when making decisions on your behalf.
To keep your Advance Statement accessible, scan and email a copy to yourself, store it with important documents like your ID and banking information, and consider sharing it with your GP so it can be added to your medical records.
You can do it yourself, by clicking on the link to the CareCoaching PDF which you can download and complete yourself, or you can book a care consultant to get it done for you.
CareCoaching's Care Planning & Advocacy Hub
Personalized support for effective healthcare recovery and planning.
Tailored Solutions
A Care Plan That Wasn’t Working
KC, a 71 year old retired university lecturer, lives alone in West London and funds his own care. Following a serious bicycle accident, he sustained a neck of femur fracture, head injury, stroke, and was receiving 25 hours of care each week, but still felt anxious, isolated, and unsupported. Despite receiving 25 hours of support each week, his care plan wasn’t meeting his needs. He felt anxious, isolated, and frustrated. His mobility was declining, he wasn’t getting outdoors, and his daily routine didn’t reflect his preferences or lifestyle.
His story is one many families recognise: lots of hours, but not the right kind of support.
How CareCoaching Helped
CareCoaching stepped in to redesign KC’s care plan using a Self Directed Assessment, giving him more choice, control, and confidence.
We focused on what mattered most to him:
A calm, later start to the day
Fresh, healthy meals prepared at home
Gentle physiotherapy built into daily routines
Regular outings for fresh air and social contact
Safety improvements to reduce falls and wandering
Emotional support, reassurance, and companionship
A structured routine that reduced stress and confusion
This personalised approach helped KC feel more secure, more independent, and more himself.
The Difference It Made
Within six months, KC experienced:
Better mood and reduced anxiety
Improved memory and confidence
Increased mobility and outdoor activity
A new friendship at the local park
Access to Dial a Ride for physiotherapy and shopping
A safer, more manageable home routine
A reduction in care hours from 25 to 18.5 per week
KC was happier, healthier, and more independent — while his overall care costs went down.
Why Families Choose Self-Directed Care
CareCoaching believes that practical, person centred solutions that make everyday life easier for care service users and their families.
How CareCoaching Works
We listen first — every plan starts with understanding the person, not the tasks.
We simplify care — clear routines, practical solutions, and easy to-follow plans.
We focus on independence — supporting people to do more for themselves, safely.
We improve wellbeing — not just physical care, but confidence, mood, and social connection.
We reduce unnecessary costs — smarter planning, not more hours.
We support families and unpaid carers — guidance, reassurance, and ongoing coaching.
A Better Care Plan Is Possible
If your current care plan isn’t working — or you’re unsure where to start — CareCoaching can help you create a plan that truly supports independence, safety, and quality of life.
Case Study: A Better Care Plan Leads to a Better Result
Want More Control Over Your Care Plan?
Find options that empowers your healthcare journey with tailored support for recovery and independent care planning.
Personalized Care Solutions
Empowering your healthcare journey with tailored support and care planning consultations for optimal well-being and recovery.
“Fix the Paper Trail” – Care Letter Support Call
A 60-minute support call for family carers who’ve received a care plan that doesn’t feel right. We’ll calmly work out what needs to be said and what needs to happen next, and will craft your response, so you’re not stuck or second-guessing yourself.
Prepare for Self -Directed Care Assessment
Create a care plan that caters to your unique healthcare needs and goals. A self-directed care assessment, can be tailored to your individual requirements. You can focus on your recovery while your carers follow your personalised care plan.
Care Plan Coaching
For Care Service Users who want ongoing support with their care plan, independence goals, or navigating NHS Healthcare, Support Services and, or Local Authority Care Services.
