How Home Care can support life after a brain injury
Steady routines, thoughtful help and care that can adapt
An acquired brain injury can change several parts of everyday life at once. Movement, balance, memory, concentration, communication, fatigue, mood and confidence may all be affected differently. Care at home can bring calm, practical support into familiar surroundings while helping the person remain involved in their own routines and choices.
We have experience supporting people living with acquired brain injury and their families, and we currently provide this support at home. This practical experience informs a calm, observant and person-led approach. We take time to understand how the injury affects this person, what they want to regain or maintain, which strategies already help and how their family and rehabilitation professionals are involved.
Support may begin with regular visits for personal care, medication, meals, appointments or companionship. We also welcome conversations about respite, overnight or live-in care when more support may help. A person-centred care plan brings together agreed routines, risk information and relevant professional guidance so our carers can provide consistent, reliable support.
Brain injury care at a glance
- Current experience supporting people and families affected by acquired brain injury
- Free, no-obligation assessment, normally in the person’s home
- Assessment-led care plans shaped around abilities, goals, risks, routines and professional guidance
- Carer matching that considers relevant experience, training, assessed competencies and personal fit
- Visits from 30 minutes, with short-term and ongoing arrangements available
- Care plans reviewed at least monthly and whenever needs change
- Rated Good by the Care Quality Commission
Understanding acquired brain injury
An injury after birth that can affect physical, cognitive, emotional and everyday abilities
An acquired brain injury, often shortened to ABI, is an injury to the brain that happens after birth. It can result from trauma such as a fall, road collision or other accident, or from causes including stroke, a brain tumour, brain haemorrhage or encephalitis. The effects depend on the cause, location and extent of the injury, so no two people will experience recovery or daily life in exactly the same way.
Some effects are visible, such as changes in walking, balance, speech or coordination. Others can be less obvious, including fatigue, memory problems, slower processing, difficulty planning or starting tasks, reduced concentration, changes in mood or behaviour and problems recognising risk. These hidden effects can be frustrating for the person and easily misunderstood by others.
Rehabilitation may help a person relearn skills or develop new ways to manage everyday activities. Progress is rarely a straight line, and fatigue can make other difficulties more noticeable. Calm communication, realistic pacing, familiar routines and support that gives the person time to take part can make home life feel more manageable and respectful.
The Headway brain injury guide explains causes, common effects, rehabilitation and practical issues in more detail. Our care works alongside medical and rehabilitation support, helping agreed strategies and daily-living plans become dependable routines at home.
335,409 UK hospital admissions
Hospital admissions with an acquired brain injury diagnosis in 2023–24. Source: Headway – the brain injury association, analysis of UK hospital admissions for 2023–24.
143,446 stroke admissions
UK hospital admissions for stroke in 2023–24, one of the causes of acquired brain injury. Source: Headway – the brain injury association, analysis of UK hospital admissions for 2023–24.
123,969 head injury admissions
UK hospital admissions for head injury in 2023–24. Source: Headway – the brain injury association, analysis of UK hospital admissions for 2023–24.
Who we can support after an acquired brain injury
Help for returning home, rebuilding routines and living with longer-term changes
Care at home can be useful at many points after a brain injury. We welcome a conversation when someone is preparing to leave hospital or rehabilitation, when everyday tasks are taking more effort, or when a family care arrangement needs dependable additional help. You do not need to wait for life at home to reach crisis point.
People and circumstances
Care at home may help:
- someone returning home after hospital or a period of inpatient rehabilitation
- a person rebuilding confidence and everyday routines while following an agreed rehabilitation plan
- someone living with longer-term physical, cognitive, communication or emotional effects
- a person living alone who would value regular practical support, company or reassurance
- a couple or family sharing care who want help with particular visits, tasks or times of day
- someone whose needs have changed and may now benefit from longer visits, overnight help or live-in care
- family carers who need reliable respite while their loved one remains at home
Signs that a care conversation may help
It may be worth exploring support when:
- washing, dressing, continence care or getting ready takes more effort or feels less safe
- meals, drinks or medication are being missed, or appointments are becoming difficult to organise
- fatigue means the person cannot comfortably complete the routines they want to manage
- walking, balance or transfers have changed, or falls and near misses are a concern
- memory, concentration, planning or awareness of risk is affecting day-to-day safety
- communication changes, low confidence or emotional changes are making life more isolated
- a partner or relative is tired, worried or no longer able to provide every part of the care
What acquired brain injury care at home can include
Practical support shaped around the person, their goals and agreed guidance
Through our free assessment, we agree the support, identify the experience and competencies the care team will need and record everything in a person-centred care plan. Our matched carers follow the person’s preferred routines and relevant professional guidance, encourage safe participation and record meaningful changes that may need to be shared through the agreed route.
Personal care, pacing and daily routines
Respectful, unhurried support can help everyday routines feel more manageable while protecting dignity and independence.
- Washing, showering, bathing, dressing and grooming
- Oral care, toileting and assessed continence routines
- Morning, evening and bedtime support
- Breaking activities into clear, manageable steps
- Planning rest and allowing extra time when fatigue affects the day
We encourage the person to do what they can and want to do for themselves, using the level of help agreed in the care plan.
Meals, drinks and agreed eating guidance
Fatigue, reduced concentration, movement changes or swallowing difficulties can make eating and drinking more demanding. Care may include:
- Planning and preparing preferred meals and drinks
- Providing calm, unhurried support at mealtimes
- Following texture, positioning or fluid guidance supplied by a speech and language therapist or dietitian
- Recording food and fluid intake where this forms part of the care plan
- Noticing and reporting coughing, increased difficulty, reduced intake or other concerns
We follow current professional guidance and share concerns through the agreed route. We do not change a prescribed diet, texture or swallowing plan.
Mobility, transfers and assessed equipment
Support can be planned around weakness, altered movement, balance changes, reduced coordination, fatigue or one-sided physical effects.
- Assistance with standing, walking and transfers where assessed
- Using prescribed mobility aids and moving-and-handling equipment
- Keeping agreed routes through the home clear and unhurried
- Accompanying the person on planned outings and appointments
- Recording falls, near misses or meaningful changes in mobility
The care plan can include guidance from occupational therapists and physiotherapists, including safe ways to use equipment already assessed for the person.
Medication, appointments and rehabilitation routines
Our competency-assessed carers can provide prescribed medication support when it is included in the care plan and risk assessment.
- Prompts or assistance with tablets, capsules, liquids and other agreed prescribed medicines
- PRN or controlled medication where the required written protocols and safeguards are in place
- Medication records on the MAR and secure digital care system
- Reminders, preparation and accompaniment for agreed appointments
- Supporting exercises or strategies exactly as instructed and recorded by the relevant professional
Our role is to follow the agreed plan safely and reliably. Diagnosis, prescribing, dose changes and rehabilitation decisions remain with the appropriate clinician or therapist.
Memory, communication and emotional wellbeing
A calm, respectful approach can reduce pressure when memory, processing, speech, concentration or emotional regulation has changed.
- Using diaries, calendars, prompts or other agreed memory aids
- Focusing on one subject or step at a time
- Allowing time for the person to understand and respond
- Reducing avoidable noise and distraction during important tasks
- Following agreed communication methods, aids and behavioural support strategies
We listen without judgement and do not treat difficulty remembering, initiating, communicating or managing emotions as deliberate behaviour.
Companionship, community life and family respite
Life after a brain injury is also about identity, relationships, confidence and having meaningful things in the week.
- Conversation and company built around the person’s interests
- Support to continue hobbies, social contact and time outdoors where suitable
- Accompaniment to local activities, shops or appointments
- Regular sitting visits or longer respite arrangements
- Updates for relatives where the person has consented and this is appropriate
A familiar carer can give the person individual attention while allowing a partner or family carer genuine time away from the caring role.
Care alongside brain injury and rehabilitation professionals
Helping agreed guidance become part of everyday life at home
Support after a brain injury is often shared across a wider team. Depending on the person, this may include a GP, neurologist, rehabilitation consultant, community nurse, occupational therapist, physiotherapist, speech and language therapist, neuropsychologist, dietitian, pharmacist or social worker. We provide personal and practical care at home alongside that professional input.
Supporting an agreed plan at home
The care plan can bring relevant instructions, routines and responsibilities into one clear record for our care team. With the person’s agreement, our carers may support appointments, follow prescribed medication arrangements, use assessed equipment and reinforce communication, memory, pacing or daily-living strategies supplied by the relevant professional.
During visits, we can record observations such as changes in mobility, fatigue, intake, communication, mood, sleep, skin condition or everyday ability. Concerns are shared promptly through the route agreed in the care plan, helping the appropriate clinician or therapist make informed decisions.
Clear roles and responsive communication
We work alongside the clinicians and rehabilitation professionals responsible for diagnosis, treatment, prescribing, therapy and clinical decisions. Our role is to provide the agreed home care reliably, notice meaningful changes and help the right information reach the right people.
This coordination can be especially valuable after discharge, when new equipment or guidance is introduced, or when the person’s abilities and support needs are changing. When updated professional advice is received, we can revise the care plan and brief our carers before the changed support begins.
Why choose CM Bespoke Care
A family-owned care agency in Shropshire with established local roots
We are a family-owned and managed care agency, with our head office in Cleobury Mortimer and a second office supporting clients and carers in Church Stretton. We have grown through recommendations and positive word of mouth while keeping personal relationships, honest communication and reliability at the centre of our work.
Our team combines local knowledge with structured training, secure care systems and responsive management. Across a rural county, dependable care also relies on thoughtful route planning, familiar carers wherever possible and clear communication with relatives who may live elsewhere.
Our care team and standards
Support after a brain injury with dependable oversight
We have experience supporting people living with acquired brain injury and their families, and we currently provide this support at home. Every new arrangement is assessed individually so we can understand the person’s abilities, goals, routines, risks, family involvement and the professional guidance already in place. During the assessment, we also identify the relevant training, assessed competencies and experience the care team will need before confirming how we can help.
- A small, consistent group of carers wherever possible
- Thoughtful matching that considers acquired brain injury experience, relevant training, assessed competencies, personality, routines, communication style, interests and location
- Structured induction, shadow shifts, observations, spot checks, supervision and task-specific competency assessment, with additional briefing or training where the care plan requires it
- A dedicated care manager and secure digital care records
- Formal care-plan reviews at least monthly and whenever needs change
- A current Good rating from the Care Quality Commission
What people say about CM Bespoke Care
Real experiences shared by clients and families
Choosing care after a brain injury requires trust in the everyday details: carers arriving as agreed, listening carefully, respecting the home, understanding that some effects may be hidden, noticing change and keeping the right people informed. Independent Google reviews share how clients and families have experienced care from CM Bespoke Care.
How acquired brain injury care at home is arranged
A clear path from the first conversation to ongoing reviews
You do not need to design a care package before contacting us. We will listen, explain how we can help and arrange a free home assessment when it would be useful. This gives us time to understand the person properly and plan safe, suitable support with the right care team.
Tell us what is happening
Share who needs support, where care would be provided, which parts of home life are difficult now and any important timescale. It is also helpful to mention a recent discharge, the professionals involved and any current mobility, communication, medication, eating or rehabilitation guidance.
Free home assessment
One of our experienced senior team members will normally meet the person at home. The conversation explores wishes, abilities, routines, risks, communication, medication, movement, fatigue, meals, the home environment, family involvement and the outcomes the person wants. It also helps us identify the carer experience, training and competencies the plan requires. Most assessments take around 60 to 90 minutes, with no fixed limit.
Personal care plan and care team
We record the agreed support in a person-centred care plan and, with consent, include relevant rehabilitation and professional guidance. Our management team approves the plan and matches suitable carers by considering relevant acquired brain injury experience, training, assessed competencies, communication and personality fit, routines, location and availability. Each carer receives a full handover before care begins.
Care begins and stays under review
Your dedicated care manager oversees continuity, communication and quality. The plan is formally reviewed at least monthly and whenever health, abilities, fatigue, communication, medication, professional guidance, routines or family circumstances change.
Ways support after a brain injury may be delivered
From regular visits to more continuous care
During the free assessment, we can help you explore the type of support that feels right now, with room for the arrangement to change over time. We welcome a conversation about the person’s needs, preferred times and location, and we will explain what we can provide in their area.
Visiting Home Care
Regular visits can provide focused help with personal routines, medication, meals, rehabilitation strategies, companionship or appointments while the person remains in control of the rest of their day.
Explore Home Care
Live-in Care
Live-in Care can offer a more continuous, reassuring presence when someone would benefit from longer periods of support and greater day-to-day continuity.
Explore Live-in Care
Respite Care at Home
Planned respite can give a partner or family carer time to rest, work or attend to other responsibilities while familiar support continues at home.
Explore Respite Care
Palliative Care at Home
Where a person is living with a serious or life-limiting condition alongside their brain injury, Palliative Care at Home can provide personal and practical support with comfort, wishes and family life kept central.
Explore Palliative CareAreas covered for acquired brain injury care at home
Local support shaped around the person and their home
We support people and families across Shropshire and welcome enquiries from North Worcestershire and parts of Herefordshire. From the first conversation, our local team takes time to understand the person, their routines, rehabilitation guidance and the support that could help life at home feel safer, more settled and more independent. The links below explain more about Home Care in each part of our service area.
If you are looking for support at home after a brain injury—or are not yet sure what kind of care would be most helpful—please talk to our team. We can check availability at your address, listen to what matters to the person and family, and arrange a free, no-obligation assessment to explore the right way forward.
Locally coordinated care across our service area
Two Shropshire offices supporting responsive care
The maps below show CM Bespoke Care’s offices in Cleobury Mortimer and Church Stretton. From these local bases, the team coordinates carers, care planning, travel and day-to-day communication across Shropshire, North Worcestershire and parts of Herefordshire. This helps keep support organised, responsive and closely connected to each client and family.
Ground Floor Office Suite, Upper Baveney Park, Cleobury Mortimer, Kidderminster, DY14 8LF
Unit 1, Sandford Court, Sandford Avenue, Church Stretton, SY6 6BH
Local acquired brain injury support and medical resources
Useful Shropshire routes for rehabilitation, advice, practical help and assessments
Alongside our home care, people and families may also find rehabilitation, peer support and independent advice helpful. The services below provide current routes in Shropshire and are independent of CM Bespoke Care. We include them so families can find useful local help more easily.
Local health and rehabilitation routes
Shropshire Community Neuro Rehab Team
The Shropshire Community Neuro Rehab Team supports adults with a confirmed acquired neurological disability, including acquired brain injury, who have a Shropshire or Telford and Wrekin GP. Its multidisciplinary team includes occupational therapists, physiotherapists, speech and language therapists, clinical psychologists and rehabilitation staff.
Visit the Community Neuro Rehab Team
Headway’s information and nurse-led helpline
Headway provides UK-wide information about brain injury, common effects, rehabilitation and life after discharge. Its nurse-led helpline can also offer information and a listening ear to people affected by brain injury, relatives and carers.
Assessments and practical support
Headway Shropshire
Headway Shropshire supports adults living with brain injury across Shropshire, Telford and Wrekin. Its services include individually tailored social and cognitive rehabilitation, activities, family support, respite and advice intended to promote independence, confidence and quality of life.
Explore Headway Shropshire support
Shropshire Council Care Act assessment and direct payments
A Care Act assessment looks at day-to-day needs, goals and eligibility for council support. Eligible adults can ask about a direct payment, which may provide a way to arrange agreed care and support. This council assessment is separate from CM Bespoke Care’s free service assessment.
Read about the Care Act assessment and direct payments for adults.
Shropshire carers’ assessment
A carers’ assessment is a free conversation about how caring affects the carer’s health, work, relationships and wellbeing, and what support may help. It is separate from the assessment of the person receiving care.
Frequently asked questions about acquired brain injury care at home
Talk to our team about acquired brain injury care at home
Start with what is happening now
You do not need to know the right care package or have every detail ready. Tell us who needs support, the general area where care would be provided, what has changed and which parts of home life feel most difficult. A member of our team will listen carefully and explain the next helpful step.
If a home assessment would help, it is free and there is no obligation to proceed. The person can involve a relative or another trusted person, and relevant rehabilitation or professional guidance can be considered with their consent. The assessment also helps us match carers whose experience, training and assessed competencies suit the person’s needs.
