Specialist dementia and complex care at home in Richmond
A dementia diagnosis changes things, but it does not have to mean leaving the home a person has lived in for decades. For most people living with dementia in Richmond upon Thames, staying in familiar surroundings is one of the best things for them, and it is where our specialist care comes in. Protocol Healthcare Services supports people at home with dementia and Alzheimer's, as well as Parkinson's, stroke recovery, palliative and end-of-life needs, and complex nurse-led care, whether that support is a few visits a day or a live-in Care Professional providing round-the-clock reassurance.
We will be honest about how we work. Our offices are in the South of England, in Edgware and Bournemouth, so we do not run a branch on George Street, but we operate a genuinely national service and coordinate vetted, trained, DBS-checked Care Professionals wherever they are needed. For specialist care that consistency matters enormously: we match the same familiar people to each home so that someone in Petersham or St Margarets sees a face they recognise, which is central to good dementia support.
Specialist support we provide at home in Richmond
- ✓ Dementia and Alzheimer's care at home
- ✓ Parkinson's and stroke recovery support
- ✓ Palliative and end-of-life care at home
- ✓ Complex and nurse-led care needs
- ✓ Help with routines, orientation and memory cues
- ✓ Medication management and prompting
- ✓ Personal care delivered with patience and dignity
- ✓ Live-in or visiting support as needs change
Why familiar surroundings matter for dementia in Richmond
For someone living with dementia, environment is not just a backdrop, it is part of how they hold on to memory and routine. The layout of a kitchen learned over forty years, the photographs on the wall, the neighbours who wave, the slow walk on Richmond Green or the bench with the famous view from Richmond Hill: these are anchors. Moving to an unfamiliar care home can strip those anchors away and cause distress. Care at home keeps them in place, so our role is to work with the routines that already exist rather than impose new ones, reducing confusion and helping the person feel safe.
As dementia progresses, needs change, and our care changes with them. Many families in Kew, Ham or East Sheen begin with visiting calls at the trickier times of day, mornings, mealtimes and evenings, then move to live-in care when round-the-clock reassurance becomes important. Because the same Care Professionals return, they learn what settles a person and what unsettles them, and they can spot subtle changes early and keep families and GPs informed.
Working with Richmond's NHS and community teams
Specialist care works best when everyone is joined up. We work alongside GPs, community mental health teams, district nurses and memory services, and we support people home after a hospital stay at Kingston Hospital, run by Kingston and Richmond NHS Foundation Trust, or West Middlesex University Hospital in Isleworth, part of Chelsea and Westminster Hospital NHS Foundation Trust. For someone with dementia the return home after an admission is a delicate moment, and steady, familiar support helps them settle back into routine and reduces the risk of readmission. Where clinical tasks are needed, we can also bring in NMC-registered private nurses to work alongside the care team.
Funding and regulation of dementia care in Richmond
Care at home in England is regulated by the Care Quality Commission (CQC), and we hold our specialist care to those standards. Dementia and complex care is priced on an individual assessment, because it depends on the level and type of support, and we give a clear figure before care starts. Many Richmond families self-fund, but help may be available: the London Borough of Richmond upon Thames can carry out a free care needs assessment and financial assessment, and where needs are primarily health-related, NHS Continuing Healthcare funding may apply. Our team is happy to explain the routes, and you can read more on our paying for care guide or explore our full range of services.
Areas of Richmond we cover for dementia and specialist care
We arrange specialist care across the borough and the surrounding TW postcodes, including:
- Richmond Hill
- Richmond Riverside
- Richmond Green
- Kew
- Ham
- Petersham
- North Sheen
- East Sheen
- St Margarets
- Mortlake
Other ways we can help in Richmond
Specialist care is one of several options. Depending on the level of support needed, these may also suit.
Live-in Care
A dedicated Care Professional living in the home for round-the-clock support in Richmond.
Read More →Home & Visiting Care
Flexible hourly visits for personal care, medication and companionship across Richmond.
Read More →Respite Care
Short-term and emergency cover so family carers in Richmond can take a break.
Read More →Private Nurse at Home
NMC-registered nurses for clinical care at home in Richmond, from wound care to palliative nursing.
Read More →Dementia care in Richmond, answered
Common questions from families arranging dementia and specialist care in Richmond. If your question is not here, our team is always happy to help.
Ask a QuestionFamiliar surroundings support memory and routine. In their own Richmond home, near the walk on Richmond Green or the view from Richmond Hill, a person living with dementia keeps the cues, habits and neighbours they know, which reduces confusion and distress. Care at home lets us support the person without the upheaval of moving to an unfamiliar care home.
Both. Some families in Kew, Ham or East Sheen start with visiting calls at key times of day, then move to live-in care as dementia progresses and round-the-clock reassurance is needed. We match the same Care Professionals to each person so familiarity and trust build over time across the TW9 and TW10 postcodes.
Yes. Alongside dementia and Alzheimer's, we support Parkinson's, stroke recovery, palliative and end-of-life care, and complex nurse-led needs at home in Richmond, working closely with GPs, district nurses and community teams. Where clinical tasks are involved we can bring in NMC-registered private nurses.
Yes. We regularly support people home after a stay at Kingston Hospital, run by Kingston and Richmond NHS Foundation Trust, or West Middlesex University Hospital in Isleworth, part of Chelsea and Westminster Hospital NHS Foundation Trust. For someone with dementia the return home is a delicate time, and consistent, familiar support helps them settle back into routine.
Care at home in England is regulated by the Care Quality Commission (CQC). The London Borough of Richmond upon Thames can carry out a free care needs assessment and financial assessment, and where needs are primarily health-related, NHS Continuing Healthcare funding may apply. Many families self-fund. See our paying for care guide for the options.
Dementia care near Richmond
We arrange dementia and specialist care across South West London and the surrounding boroughs. Explore nearby areas below.
Looking for dementia care in Richmond?
Our friendly team is here to help with a free, no obligation chat about specialist care at home for your loved one.



