Your questions, answered.
The practical side of arranging home care in North London, from the first assessment to costs and keeping family involved.
Getting started
How do I arrange home care?
Call us or send an enquiry. We’ll have an initial conversation about what’s happening, then arrange a free care assessment, usually at home.
Make an enquiry →What happens during a care assessment?
A member of our care management team visits to understand the person’s needs, routines, preferences, home environment and any risks. We use this to write a personal care plan and prepare a quote.
How quickly can care start?
We regularly arrange care at short notice, sometimes within 24 hours, subject to an assessment, suitable carers being available and the care being right for the person. For live-in care we prefer a few days to arrange introductions and meet-and-greets.
How long does each visit last?
Every visit lasts at least one hour. We don’t offer short pop-in calls, because good care shouldn’t be rushed.
Which areas do you cover?
We support people across North and Central London, including Westminster, Camden, Islington, Barnet, Haringey, Hackney and Enfield, from our office in St John’s Wood, NW8. Call us with your postcode and we’ll confirm whether we can help.
Can family members attend the assessment?
Yes, with the person’s agreement. Families often know a great deal about routines and preferences, and we welcome their input.
Can care needs change over time?
Yes. Care plans are reviewed regularly and whenever circumstances change, and support can be increased or reduced.
How will our family stay informed about care?
Our carers record each visit in Birdie, the care management app we use. With the person’s permission, private clients and authorised family members can see upcoming visits, when carers arrive and leave, and care notes, even from another city or country. The app is for keeping up to date rather than messaging: for any question, just call us on 020 3876 7833.
Introducing Birdie →Care workers
Will the same carers visit?
We aim to build a small, regular team around each person so they see familiar faces. CQC found people were supported by the same regular carers.
Read our CQC findings →How are carers recruited and trained?
Carers complete pre-employment checks, including references, right to work and an enhanced DBS check. They complete induction training, including practical sessions at our office, and shadow experienced colleagues before working alone.
Careers at Hedgerow →Can we meet carers before care starts?
Where possible, yes. CQC noted that people had opportunities to meet different care workers and say who they felt most comfortable with.
What happens if our regular carer is unavailable?
We arrange cover from within the person’s regular team wherever possible, and brief any replacement carer on the care plan.
How are concerns or complaints handled?
Please tell us in person, by phone, email, letter, WhatsApp or through a representative. We take every concern seriously, acknowledge it promptly, try to resolve it straight away where we can, and keep you informed if it needs investigating.
Our complaints & feedback policy →Care services
What is the difference between home care and live-in care?
Home care is a number of planned visits at agreed times. With live-in care, a carer lives in the home and provides support throughout the day. Live-in care isn’t the same as 24-hour waking care: the carer needs sleep and breaks.
About live-in care →What is the difference between sleeping and waking nights?
On a sleeping night the carer sleeps in the home and can be woken occasionally. On a waking night the carer stays awake all night, ready to help as often as needed.
About overnight care →Can carers help with medication?
Yes. Carers can prompt or support people to take prescribed medication as set out in their care plan, following our medication procedures.
Can you support someone living with dementia?
Yes. We provide person-centred dementia care built around familiar routines and regular carers.
About dementia care →Should we choose live-in care or overnight care?
Overnight care covers the night only, as a sleeping or a waking night, and often sits alongside daytime visits. With live-in care a carer lives in the home and supports the person through the day, but they need a proper night’s sleep. If help is needed most nights, waking night care may be needed as well. We’ll recommend what is safe after the assessment.
About overnight care →Are your carers nurses?
No. Hedgerow is a home care (domiciliary care) provider registered with CQC, not a nursing agency. Our carers are trained care workers who help with personal care, medication support, meals and daily routines. Where nursing is needed, district nurses or the person’s healthcare team provide it, and we work alongside them.
Can you provide care after hospital discharge?
Yes, where we can meet the person’s needs. Contact us as early as possible before discharge so we can plan together. Care can sometimes start within 24 hours, subject to an assessment and carer availability.
About elderly care →Costs & payments
How much does home care cost?
Every care package is personalised, so we don’t publish fixed prices. Cost depends on the type of care, how many hours are needed and when. After a free care assessment, we’ll give you a clear written quotation.
Guide: what affects home care costs →Is there a minimum number of hours?
Our private care packages start from 7 hours a week, and each visit lasts at least one hour. The hours can be spread across the week, for example a one-hour visit every day.
How is care invoiced?
We invoice private clients monthly. You can pay by bank transfer, debit or credit card, or cheque.
Can care be funded by the NHS or local authority?
Some people are eligible for NHS or local authority funding, depending on their needs and circumstances, but not everyone qualifies. Hedgerow is an approved provider under North Central London Integrated Care Board’s All Qualified Provider (AQP) arrangements and regularly accepts NHS-commissioned care packages. We also welcome clients using direct payments.
Guide: paying for home care →Can we increase or reduce care hours later?
Yes. Let the office know and we’ll review the care plan with you and adjust visits, subject to carer availability. Private packages stay at 7 hours a week or more. Our standard notice period for ending care is two weeks.
Family involvement
Can relatives see care records?
Yes. With the person’s consent, authorised relatives can view care plans and daily records electronically.
How do you keep families informed?
Through the online care records, care plan reviews and direct contact with our office team whenever something changes.
How do you maintain continuity?
By building a small, regular team around each person and matching carers carefully. Some people have been supported by the same carers for many years.
What if my relative is reluctant to accept care?
That’s very common. Starting small (perhaps with companionship) and introducing a carer who suits them often helps. We’ll go at their pace.
About companionship care →Still have questions? We're here to help.
Talk to our North London team. No pressure, just honest answers.
020 3876 7833Contact usHome care across North and Central London.
Our team is based in St John's Wood, NW8. Read about care in your borough, or send us your postcode and we'll check whether we can help.
- WestminsterOur home borough: St John’s Wood, Maida Vale, Marylebone
- CamdenHampstead, Belsize Park, Swiss Cottage
- IslingtonHighbury, Angel, Canonbury
- BarnetFinchley, Golders Green, Hendon
- HaringeyMuswell Hill, Crouch End, Highgate
- HackneyStoke Newington, Stamford Hill, Clapton
- EnfieldSouthgate, Palmers Green, Winchmore Hill
