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End of Life Care at Home

Compassionate end-of-life care at home that focuses on comfort, dignity, and emotional support. Our carers help people live their final stage in familiar surroundings with personalised end-of-life care.

Contact Us020 3004 8402

Arthur N (Brother of Client)

"HTR Care has been a real support for my brother and for our family."

End of Life Care That Puts Comfort and Dignity First

End of Life Care That Puts

End-of-life care at home is a specialist care service for people who are in the last months, weeks, or days of their life. It covers personal care, comfort and pain management support, medication management, emotional support, companionship, nutrition and hydration assistance, and round-the-clock presence when it is needed most. End-of-life care is suitable for people living with cancer, dementia, heart failure, advanced lung disease, or any other serious condition where the focus of care has moved from treatment to comfort, dignity, and quality of life.

HTR Care has been providing end-of-life care across London since 2017, working from Belmont House, Belmont Road, Uxbridge UB8 1HE. HTR Care is regulated by the Care Quality Commission and rated Good across all 5 inspection domains. We work closely with GPs, district nurses, Macmillan nurses, palliative care specialists, and hospice teams to ensure care at home is gentle, coordinated, and fully aligned with the person's wishes.

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What is End of Life Care at Home?

End-of-life care at home is a specialist type of care for people in the final stage of a serious or life-limiting illness, focused not on treatment or recovery but on comfort, pain and symptom management, and emotional support. With over 500,000 deaths expected each year in England and Wales and the majority of people expressing a preference to die at home rather than in hospital, the need for professionally arranged end-of-life care at home is significant and growing.

The Marie Curie Better End of Life Report 2024 found that 1 in 3 people were severely affected by pain in their final week of life, and 1 in 2 visited A&E at least once in their final three months, highlighting how many people do not receive the comfort and dignity they deserve. Home-based end-of-life care allows the person to remain in familiar surroundings with family nearby, with care built entirely around their individual wishes, making dying at home possible for far more families than could otherwise manage without professional support.

1 in 3→1 in 2

1 in 3 people are severely affected by pain in their final week of life, and 1 in 2 visit A&E at least once in their final three months without adequate end-of-life care at home.

Source: Marie Curie Better End of Life Report 2024

Three Main Types of End of Life Support

1

Comfort and Physical Care

Gentle personal care, pressure management, comfort positioning, and nutrition and mouth care adapted to the final stage of life.

2

Medication and Clinical Support

Syringe driver monitoring, pain relief coordination, and direct liaison with district nurses and the palliative care team.

3

Emotional and Spiritual Support

Compassionate presence for the person and their family, honouring cultural, religious, and personal wishes throughout.

What Our End of Life Care at Home Covers

Personal Care

Personal Care

Support with washing, dressing, grooming, and continence care. Always delivered gently and respectfully, following your loved one’s normal routine.

Emotional Support for the Person and the Family

Emotional Support for the Person and the Family

Our end-of-life carers provide calm emotional support for clients and families.

Nutrition, Hydration, and Mouth Care

Nutrition, Hydration, and Mouth Care

Our carers support comfort through gentle nutrition, hydration, and careful mouth care.

Spiritual, Cultural, and Religious Wishes

Spiritual, Cultural, and Religious Wishes

Our end-of-life carers honour each family’s spiritual, cultural, and religious wishes with respect.

Companionship and Being Present

Companionship and Being Present

Our end-of-life carers offer gentle presence, quiet comfort, and reassurance, helping clients feel safe, loved, and never alone.

Why Families Choose HTR Care for End-of-Life Care

1

CQC Regulated and Trusted

HTR Care is regulated by the Care Quality Commission and rated Good across all inspection domains: Safe, Effective, Caring, Responsive, and Well-Led.

2

Your Loved One Always Comes First

We match carers based on your loved one’s needs, condition, personality, and daily routine, so care feels familiar even when someone new steps in.

3

Carefully Matched Carers

Every carer is selected based on verified training and experience. If your loved one has dementia, Parkinson’s, or mobility needs, we match someone who already understands that condition.

4

Introductions Before Care Begins

We always introduce the carer before care starts, so your loved one and family know exactly who is coming into the home. This reduces stress and builds trust from day one.

5

Fast Support When You Need It

Care at home can be arranged within 24 hours, and sooner in urgent situations. This ensures your loved one is never left without support, even when plans change suddenly.

Arranging Care with HTR Care

We understand that arranging home care can feel overwhelming at first, especially when families are already under pressure. That is why we keep the process simple and supportive from the beginning.

1

Speak with Our Team

A friendly conversation to understand your situation, answer questions, and talk through the support you may need.

2

Home Care Assessment

We arrange a care assessment to better understand routines, preferences, daily challenges, and the level of support required.

3

Begin Your Care

Once everything is agreed, we carefully match you with a suitable carer and begin support in a way that feels comfortable and familiar.

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Our professional care team in discussion

What Families Say About Us

Real stories from the people who matter most; the families we serve every day

Frequently Asked Questions About End of Life Care

Palliative care supports people with serious illness at any stage by managing symptoms such as pain, breathlessness, or anxiety. End of life care is a type of palliative care provided when a person is in the final stage of life and the focus has shifted fully to comfort, dignity, and emotional support for both the person and their family.
Yes. Many people choose to receive end of life care at home because familiar surroundings feel more peaceful and reassuring. Professional carers work alongside GPs, district nurses, and palliative care teams to manage comfort, medication, and daily support. With the right planning, most people can remain at home safely and comfortably during the final stage of life.
During the final days of life, the body gradually slows down. A person may sleep more, eat and drink less, and become less responsive. Carers focus on comfort, gentle personal care, mouth care, and emotional reassurance, monitoring any changes and communicating with the GP or district nurse when clinical support is needed.
An Advance Care Plan is a written document that records a person's wishes about future care, including where they prefer to receive care, what treatments they want or do not want, and who should be involved in decisions. HTR Care reads and follows every person's Advance Care Plan carefully and completely throughout the end of life care arrangement.
Yes. End of life care may be funded through NHS Continuing Healthcare or Fast Track funding when a person's condition is rapidly deteriorating and the primary need is a health need. A GP, nurse, or hospital clinician usually starts the assessment process. HTR Care has direct experience working with London Integrated Care Boards on Fast Track cases.
End of life care can last for a few days, several weeks, or sometimes longer depending on the illness and how quickly the condition progresses. Some people need increasing levels of support over time, while others may need intensive care only in the final days. Care plans are reviewed regularly and updated to match changing needs.
HTR Care's support helps the family reduce the physical and emotional pressure of caring alone during the final stage. After the death, our team can help families connect with bereavement support services and other sources of guidance. Families may also ask HTR Care for information about what to expect in the days following a death at home.
No. End of life care supports people with many life-limiting conditions, including dementia, heart failure, COPD, Motor Neurone Disease, neurological conditions, and general age-related frailty. The type of support provided depends on the person's symptoms, comfort needs, and
Yes. Care can be arranged from short comfort visits to full 24-hour support depending on the situation. Some families choose overnight or live-in care so that a trained carer is always present, ensuring the person is never alone and that any changes in condition are responded to immediately.
End of life care usually begins when a condition becomes life-limiting and the main focus shifts from treatment to comfort. Early planning helps ensure the person's wishes are understood and allows time to arrange the right level of support. Starting earlier often reduces stress significantly for both the person and their family.

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