One carer who learns the specific deficits
No two brain injuries are alike. A consistent carer learns exactly which tasks need prompting, which need supervision, and which the person can still do alone.
✧ Our services
Brain Injury Support and Live-in Care at Home
After a brain injury, recovery and daily life depend on routine, patience and consistency. A live-in brain injury carer supports rehabilitation, independence and safety at home, and helps the whole family adjust.
- Routine and consistency One carer, not a rota of changing faces
- From £1,300 a week Specialist live-in brain injury support
- Supports your rehab team Case managers, therapists and neuropsychologists
- Independence first Doing with, not doing for
What is brain injury care at home?
An acquired brain injury (ABI) is any injury to the brain that happens after birth, whether from a stroke, infection, lack of oxygen or a tumour. A traumatic brain injury (TBI) is caused by a blow to the head, for example in a road accident or a fall. The effects vary enormously: physical weakness and fatigue, problems with memory, concentration and planning, changes in personality, emotions and behaviour, and difficulty with communication.
Brain injury care at home supports a person with those effects in their own home, helping them rebuild skills, stay safe and take part in family and community life. Live-in care provides the consistent, around-the-clock presence that many people with a brain injury need.
Why consistency matters after a brain injury
Many people with a brain injury find change, noise and unfamiliar people overwhelming. Fatigue can arrive suddenly, and memory problems make new routines hard to learn. A single live-in carer who knows the person, their triggers and their strategies can keep the day predictable, which reduces stress and supports recovery far more than a rotating team of visiting carers.
How a live-in carer supports people with brain injuries
- Rehabilitation — practising the goals set by occupational therapists, physiotherapists, speech and language therapists and neuropsychologists, every day.
- Memory and planning — calendars, checklists, phone reminders and routines that the person can gradually manage for themselves.
- Fatigue management — pacing activities, building in rest and spotting the signs of overload early.
- Behaviour and emotions — staying calm and consistent when frustration, impulsiveness or low mood appear, and following the agreed behaviour support plan.
- Personal care and mobility — as much or as little help as is needed, always encouraging independence.
- Community life — getting back to shops, friends, hobbies, volunteering or work, with support to manage travel and busy places.
- Safety — managing risks such as cooking, finances and vulnerability to exploitation, in a way that respects the person's choices.
Working with case managers and rehab teams
Where there is a personal injury claim, a case manager often coordinates rehabilitation and support. We work with case managers, deputies and therapists to provide carers who fit the rehabilitation plan and report progress clearly. For people without a claim, we work with the community neuro-rehabilitation team, GP and family.
Support for the whole family
A brain injury changes a family as well as a person. Partners and parents often become carers overnight and may be coping with a relative whose personality has changed. Live-in care takes on the practical and physical load, gives family members space to rest and rebuild their relationship, and brings a calm, experienced presence into the home. Headway, the brain injury association, also offers support to families.
Paying for brain injury care
Live-in brain injury care starts from £1,300 a week. Care may be funded through a personal injury claim or interim payments, through the council after a needs assessment, through NHS Continuing Healthcare where needs are complex and health-related, or through PIP. Our guide to brain injury and personality changes covers care at home in more depth.
Understanding the hidden effects of brain injury
Some effects of a brain injury are obvious, such as weakness on one side or difficulty walking. Many are not. Families often find the hidden effects the hardest to live with:
- Fatigue — overwhelming tiredness after activities that used to be easy.
- Memory — forgetting conversations, appointments or whether something has been done.
- Executive function — difficulty planning, organising, starting tasks or solving problems.
- Emotional changes — irritability, anxiety, low mood or emotional outbursts.
- Insight — not fully recognising their own difficulties, which can make support harder to accept.
- Sensory overload — noise, crowds and busy places becoming overwhelming.
These are symptoms of the injury, not choices. Understanding that is the first step to supporting someone well.
Routine as rehabilitation
For many people with a brain injury, routine is not just helpful; it is part of recovery. A predictable day reduces the mental load of decision-making, making energy available for rehabilitation and enjoyment. Carers help build routines using visual timetables, checklists and phone reminders, and gradually hand responsibility back as the person becomes able to manage more. The goal is always the most independence possible, even if that means some tasks take longer.
Managing risk while respecting choice
People with brain injuries have the right to make their own decisions, including ones that others think unwise, unless they lack capacity for a particular decision. Carers support safe choices without being controlling: agreeing plans for cooking, money and going out, identifying vulnerabilities such as being taken advantage of, and involving the family or case manager where there are serious concerns. Where capacity is in question, decisions follow the Mental Capacity Act.
Returning to work, study or volunteering
For many people, meaningful activity is a major part of recovery and wellbeing. With the right support, some people return to work, often gradually, while others find purpose through study, volunteering or new interests. A carer can help with travel, planning and managing fatigue during the day, working alongside vocational rehabilitation services and the person's employer where appropriate.
Sleep problems after a brain injury
Sleep problems are very common after a brain injury, including difficulty falling asleep, waking in the night, or sleeping far more than before. Poor sleep worsens fatigue, memory, mood and behaviour, so it is worth taking seriously. A consistent routine, daylight and activity during the day, a calm environment in the evening, and avoiding caffeine and alcohol help. If problems persist, the GP or rehabilitation team can look for treatable causes. A carer supports the routine and keeps a record of sleep to share with professionals.
Driving after a brain injury
A brain injury can affect the skills needed to drive safely, such as concentration, reaction times, vision and judgement. In the UK, drivers must tell the DVLA about certain medical conditions, including many brain injuries, and must not drive until they are told it is safe. Rules vary depending on the injury, so it is important to check the DVLA's guidance and follow medical advice. While someone cannot drive, a carer can help with transport so they stay connected to their community.
Further reading and sources
Why families choose it
What live-in brain injury care gives your family
Safety without constant hospital stays
Seizure risk, poor balance or impaired judgement are managed by someone present in the home, catching problems before they become an A&E visit.
Cognitive and behavioural changes handled patiently
Memory loss, mood swings or reduced impulse control are met with the same calm, familiar response each time, rather than a different reaction from a different face.
Rehabilitation carries on at home
Exercises and routines set by physiotherapy or occupational therapy are far more likely to be kept up daily with someone there to support them.
Family relationships are protected
Handing over the physical and supervisory demands of care lets family members go back to being family, rather than exhausted round-the-clock carers.
Is it right for us?
When families arrange brain injury care at home
If one of these sounds familiar, brain injury care at home is worth a conversation.
Discharge home after a stroke or head injury
Hospitals often discharge sooner than families feel ready for. Live-in care can be arranged quickly to support that transition home.
Behaviour or personality has changed
Impulsivity, low frustration tolerance or confusion following the injury can be hard for a family alone to manage safely and calmly.
Seizures or falls have started
A new seizure risk or repeated falls usually mean someone needs to be present in the home at all times, not just checking in.
Rehabilitation has plateaued without daily support
Progress often stalls when exercises and routines aren't kept up consistently between appointments — a live-in carer helps keep that going.
The family carer can no longer manage alone
Round-the-clock supervision is physically and emotionally demanding. Bringing in a professional carer is often the only sustainable option.
What a carer does
How a live-in carer helps after a brain injury
Every care plan is built from these, weighted to whatever matters most in your household.
Daily living support
Personal care and daily routines adapted to the specific physical and cognitive effects of the injury.
Safety and supervision
A constant presence for seizure risk, balance problems or impulsive behaviour, reducing the risk of falls or accidents.
Cognitive and behavioural support
Patient, consistent responses to memory loss, confusion or mood changes from someone who knows the person's baseline.
Household and rehabilitation continuity
Housework and errands taken care of, alongside steady support keeping up therapy exercises between appointments.
Related services
Other types of live-in care we arrange
Live-in care is not one fixed thing. These are the variations families most often need — and we will tell you which one actually fits.
24 hour live-in care
For people who need attention repeatedly through the night. Covers waking nights and, where nights are consistently broken, two carers in rotation.
Respite care
A professional steps in so a family carer can rest, from a few days to several weeks. Also the easiest way to try live-in care before committing.
Emergency home care
For a hospital discharge, a fall, or a carer suddenly unable to continue. We can often have someone in place within 24 to 48 hours.
Overnight care
Cover through the night only, where days are manageable but nights are not. Useful after a hospital stay or while a diagnosis settles.
Dementia care
Carers experienced in memory loss, sundowning and changes in behaviour. Familiar rooms and one consistent face matter more here than anywhere.
Palliative care
Comfort-focused support at home, working alongside district nurses and the GP so symptom control and dignity come first.
End of life care
Support for the final months, weeks or days at home, for the person and for the family around them.
Companionship care
Where the need is company and daily structure rather than personal care. Often the first step, before anything more is required.
What you get
What brain injury care includes, and what it doesn't
Being straight about the boundaries saves everyone a difficult conversation later.
Included in the weekly fee
- Personal care — washing, dressing, continence support
- Medication prompting and administration
- Supervision for seizure risk, balance problems or impaired judgement
- Support carrying out physiotherapy or occupational therapy exercises
- Prompting and support with memory, planning and daily tasks
- Meal preparation and support with swallowing difficulties where relevant
- Light housework, laundry and shopping
- Accompanying to therapy, GP and specialist appointments
- Companionship and calm behavioural support
Not included
- Nursing tasks requiring a registered nurse (district nurses continue to visit)
- The carer's own food — the household provides everyday meals
- Household bills, rent or council tax on the carer's behalf
- Two-person handling where a hoist requires two carers (that is our Advanced plan)
Compared honestly
Brain injury care at home, a specialist unit, or visiting carers?
The three realistic options, side by side. We will tell you if one of the others suits you better.
| Live-in care | Residential care home | Visiting care | |
|---|---|---|---|
| Typical weekly cost, one person | From £1,200 | £1,100 – £1,600 | £300 – £900 |
| Typical weekly cost, a couple | From £1,200 (one carer) | £2,200 – £3,200 (two places) | Varies by hours |
| Staff-to-person ratio | One-to-one | Shared across residents | One-to-one, but only during visits |
| Same carer each day | Yes | No — shift rota | Rarely |
| Stay in your own home | Yes | No | Yes |
| Overnight cover | Yes | Yes | No — unless booked separately |
| Couples stay together | Yes | Often not possible | Yes |
| Pets can stay | Yes | Almost never | Yes |
| Visitors any time | Yes | Visiting hours | Yes |
Care home figures are typical UK ranges for 2026 and vary considerably by region and by whether nursing care is included. We quote our own prices exactly; always confirm a care home's fees directly with them.
Our carers
Who will your brain injury carer be?
The single biggest worry families raise, and rightly. You choose the carer from matched profiles, and you can speak to them by video call before deciding anything.
Enhanced DBS
On every single carer, checked before introduction
In person
Every carer is interviewed, not just screened on paper
You choose
Profiles sent to you — including a video call first
24–48 hrs
How fast we can move in an emergency
Our carers
The carers who provide brain injury care
Our carers are spread across the UK, supported by regional care managers. Every one is interviewed in person, enhanced DBS checked and reference-checked before they are ever introduced to a family — and you choose who moves in.
- Interviewed face to face, never hired on paperwork alone
- Enhanced DBS checked, with references verified
- You meet and approve your carer before they start
-
Gladys
Live-in carer
-
Brenda
Live-in carer
-
Patience
Live-in carer
-
Vistorine
Live-in carer
-
Refiloe
Live-in carer
-
Monica
Live-in carer
How it works
Arranging brain injury care in three steps
Tell us what you need
A friendly, no-obligation call to understand the situation, explain how the care works and give you an estimated weekly cost.
Choose your carer
We send profiles of available carers matched to your needs. You can speak to them on a video call before deciding.
Care begins at home
Your carer moves in and support starts, with a named care manager checking in regularly to make sure it's working.
Free callback
Prefer we call you?
Leave your number and a care manager will call you back — usually within an hour, and always free.
- No obligation. A conversation, not a sales call — and never a call centre.
- A real care manager. Someone who arranges care every day, who can answer properly.
- Just two details. Your name and number — we don’t need an email address.
Or call us now on 0800 368 8558 Lines open 8am–10pm, seven days a week
Common questions
Questions about brain injury care
What families ask us before arranging care.
Not seeing your question?
Our care managers answer these every day. A no-obligation call takes about ten minutes.
0800 368 8558Lines open 8am–10pm, seven days a week See all questionsHow much does brain injury care at home cost?
Live-in brain injury care starts from £1,300 a week as one fixed weekly fee. Two carers may be needed where there are significant night-time needs or behaviour that requires two people.
Do you work with case managers and personal injury claims?
Yes. We work with case managers, deputies and solicitors to provide carers who fit the rehabilitation plan, with clear reporting on progress and hours.
Can you support challenging behaviour after a brain injury?
Yes. We match carers with brain injury experience who follow the behaviour support plan agreed with the clinical team, and who stay calm and consistent.
Is live-in care suitable for younger adults with a brain injury?
Yes. Many people we support are younger adults who want to live at home, return to community life and, where possible, work. A care home is rarely the right setting for them.
Can a carer help with rehabilitation exercises?
Yes. Carers support the goals and exercises set by therapists and neuropsychologists, which helps skills carry over into real daily life between sessions.
What is the difference between ABI and TBI?
ABI covers any brain injury after birth, including stroke, infection and lack of oxygen. TBI is a type of ABI caused by a blow or trauma to the head.
Why is routine so important after a brain injury?
A predictable routine reduces the mental effort of planning and deciding, which helps with fatigue and memory problems. It also frees energy for rehabilitation and the activities that matter to the person.
What are the hidden effects of a brain injury?
Fatigue, memory problems, difficulty planning, emotional changes, reduced insight and sensory overload. These are often harder for families than physical effects, and are symptoms of the injury rather than choices.
Can someone with a brain injury return to work with support?
Many can, often gradually. Carers help with travel, planning and managing fatigue, alongside vocational rehabilitation services and the employer. Others find purpose through study or volunteering.
How do you balance safety and independence after a brain injury?
By agreeing plans for risky activities, supporting the person to make their own choices, and involving family or the case manager where there are serious concerns, following the Mental Capacity Act where needed.
Transparent pricing
How much brain injury care costs
One weekly fee covering the agreed care plan. No hidden charges for everyday care.
Read next
Guides for families arranging brain injury care
Brain Injury and Personality Changes: Understanding and Managing Care at Home
Read guide →
A Comprehensive Guide to Creating a Care Plan
Read guide →
Can live-in care be funded?
Read guide →Related care
Care often arranged alongside brain injury care
Neurological Conditions Care
There are two types of nervous systems, the central nervous system, and the peripheral nervous system. The central nervous system is composed of the brain and spinal cord, and the peripheral nervous system is composed of nerves that branch out of the spinal cord and extend to the other body parts.
Stroke Care
A stroke happens when a blood vessel supplying the brain or an area of the brain is blocked and ruptures. Due to the unavailability of blood to the brain tissue, the cells begin to die. A stroke is a medical emergency. But patients, once recovered from the emergency situation, need constant care and attendance depending upon the severity of the symptoms.
Spinal Injury Care
Spinal cord injuries are very serious and can lead to a lifetime of lost independence. It is important for those who have suffered from a spinal injury to understand the appropriate ways to care for their injury in order to make it easier on themselves. It also might be essential to consider care at home. In this blog post, we will discuss how you can rehabilitate your injury at home or work so that you don't have as much trouble getting around and doing things independently!
Mental Health Support
The elderly population is rapidly growing as the baby boomers age. The senior population will soon surpass that of children and teens in size. This blog post discusses mental health care for elderly patients, which is very important to provide a quality life and avoid depression. If you don’t have the time, you should hire elderly live-in care for them.
Disability Home Care
Disability care is specialised home care designed to support individuals with physical, learning, sensory, or complex disabilities. This type of care focuses on assisting with daily activities, mobility, personal care, and emotional well-being while promoting independence and quality of life.
Near you
Brain injury care in your area
Local pages cover how care is regulated and funded where your relative lives.
Where we work
Brain Injury Care across the UK and Ireland
We arrange care in 850+ towns and cities. Choose your area for local pricing, funding and how care is regulated where you live.
- Carers travel to you — they move into the home rather than driving from a local branch, so rural and coastal areas are covered too.
- The same weekly price everywhere — care is priced on the support needed, never on your postcode.
- Care can start in 24–48 hours in most areas, and often the same day after a hospital discharge.
Search 850+ towns and cities →
Can’t see your area? Call 0800 368 8558 — we almost certainly still cover it.