Key Responsibilities and Required Skills for Home Carer
💰 $22,000 - $40,000 per year (dependent on location, hours and experience)
🎯 Role Definition
A Home Carer provides compassionate, reliable, and dignified in-home support to people who need help with daily living activities due to age, disability, illness or short-term recovery. Working independently in clients' homes and as part of a care team, the Home Carer ensures safety, comfort and independence by delivering personal care, medication prompting where trained, mobility assistance, household support and emotional companionship while maintaining accurate records and escalating clinical or safeguarding concerns to managers and health professionals.
📈 Career Progression
Typical Career Path
Entry Point From:
- Support Worker / Care Assistant in residential or community settings
- Healthcare Assistant (HCA) in hospitals or clinics
- Voluntary care experience or apprenticeship in social care
Advancement To:
- Senior Home Carer / Shift Lead
- Care Coordinator or Community Care Supervisor
- Registered Care Manager or Domiciliary Care Manager
- Specialist roles (Dementia Care Lead, Palliative Care Specialist, Training Officer)
Lateral Moves:
- Community Mental Health Support Worker
- Housing Support Worker
- Reablement Therapist Assistant
Core Responsibilities
Primary Functions
- Provide safe, respectful and person-centred personal care including assistance with bathing, showering, oral and dental hygiene, toileting, continence care and intimate care while maintaining dignity and following care plans and infection-control protocols.
- Support clients with mobility and transfers, using hoists and mobility aids where trained, completing dynamic risk assessments and applying safe moving and handling techniques to minimise harm to the client and the carer.
- Administer or prompt medication in accordance with training, organisational policy and local regulations — documenting medication administration (MAR) accurately and reporting missed doses or adverse reactions promptly to the care coordinator or healthcare professional.
- Prepare nutritious meals, support with feeding where required, follow dietary instructions (e.g., pureed, diabetic or allergy-specific diets) and ensure food safety and hygiene in the domestic environment.
- Develop and update individualised care plans and daily support logs by recording observed behaviours, mood changes, pain levels or clinical concerns, ensuring entries are clear, factual and made in a timely manner using paper or electronic care management systems.
- Conduct regular wellbeing checks and monitor physical and mental health indicators, escalating any deterioration, pressure area risk, sudden illness or safeguarding concerns to the registered manager, GP or district nurse as appropriate.
- Deliver compassionate end-of-life and palliative support within agreed care plans, liaising with family members and multidisciplinary teams to ensure comfort, symptom management and dignity in final stages.
- Provide specialist dementia care using validation, reminiscence and behaviour-support techniques to reduce distress and promote engagement while following personalised care approaches and environmental safety measures.
- Assist with wound-care routines under the direction of clinical staff, ensuring dressing changes are documented and signs of infection or deterioration are escalated immediately.
- Promote independence through reablement activities, encouraging clients to practise tasks where safe, set achievable goals and work with occupational therapists or reablement teams to support recovery and maintain functional ability.
- Maintain a clean and safe household environment by performing light housekeeping tasks such as laundry, bed changing, cleaning of kitchen and bathroom surfaces, and checking utilities to reduce infection and trip hazards.
- Provide emotional support, companionship and social stimulation by facilitating hobbies, community engagement, appointments and meaningful conversation to reduce social isolation and maintain quality of life.
- Coordinate appointments and transport arrangements with families and multidisciplinary teams, accompanying clients to medical visits or community activities when required and assisting with care transitions between settings.
- Undertake routine health checks such as monitoring blood pressure, pulse, temperature and blood glucose where trained, recording results accurately and acting on any abnormal findings in line with clinical guidance.
- Follow safeguarding policies, recognise signs of abuse or neglect, document concerns and report immediately to the safeguarding lead or local authority to protect vulnerable adults.
- Maintain confidentiality, data protection (GDPR) and professional boundaries when handling personal information, records and family matters while completing mandatory documentation and consent forms.
- Manage supplies and equipment within the home by ordering replacements, checking expiry dates on medication and ensuring mobility aids are clean, charged and in safe working order.
- Support family carers by providing respite cover, guidance on daily care tasks, reassurance and clear communication about the client’s status, therapy plans and any changes to the care package.
- Participate in multidisciplinary reviews, handovers and case conferences to contribute observations, update care plans and ensure continuity of service delivery across shifts and providers.
- Provide basic first-aid response and emergency support, calling emergency services when necessary, following practice protocols and documenting incidents in full afterwards.
- Complete mandatory training and competency assessments (e.g., safeguarding, infection control, dementia awareness, medication handling, moving & handling) and apply learning to daily practice to maintain service standards.
- Promote equality, diversity and inclusion by delivering culturally sensitive care, respecting religious needs, dietary preferences and individual life choices while adapting care approaches to meet personalised goals.
- Use digital care technology and electronic record systems to log visits, update tasks and communicate with the office promptly to ensure accurate billing, payroll and audit-trail compliance.
- Support quality improvement initiatives by providing feedback on service delivery, participating in audits, and implementing recommended actions to enhance client outcomes and regulatory compliance.
Secondary Functions
- Attend team meetings, shift handovers and supervision sessions to support consistent care delivery and professional development.
- Cover occasional weekend, evening or emergency shifts to maintain service continuity, including on-call duties when rostered.
- Mentor and assist newly recruited or junior carers with induction tasks, shadowing and competency sign-offs where required.
- Complete ad-hoc administrative tasks such as mileage logs, timesheets and client visit verification via mobile apps or telephony systems.
- Maintain professional registration or certificates where applicable and proactively seek CPD opportunities relevant to community care practice.
- Support organisational audits by providing documentation, participating in spot checks and responding to improvement action plans.
- Assist managers with rota planning input by communicating availability, training needs and holiday requests in line with service requirements.
- Contribute to infection prevention efforts during outbreaks by implementing enhanced cleaning and PPE guidance and following public-health directives.
- Help coordinate volunteer or community resources to support client social and practical needs (shopping, befriending, local services).
- Participate in local safeguarding forums, clinical governance or quality meetings when requested to represent frontline perspectives.
Required Skills & Competencies
Hard Skills (Technical)
- Personal care delivery: bathing, toileting, continence support and intimate care in accordance with dignity-first approaches.
- Safe moving & handling: competency with hoists, slide sheets, transfer belts and manual handling assessments.
- Medication support: MAR chart documentation, prompting and administration of oral and topical medications where trained and authorised.
- Basic clinical observation: measuring and recording vital signs (BP, pulse, temperature, blood glucose) and communicating abnormal results.
- Wound-care support: basic dressing change assistance and observation under nurse direction (where trained).
- Infection control & PPE use: aseptic technique, hand hygiene, and adherence to isolation protocols.
- Electronic care-record systems: ability to use mobile apps, tablets or web portals for visit logging, updates and eMARs.
- Risk assessment & care planning: conducting dynamic risk assessments, implementing mitigating actions and updating care plans.
- Safeguarding and adult protection protocols: recognising signs of abuse and making timely referrals to safeguarding teams.
- Food safety & special diets: preparing meals to dietary specifications including pureed, diabetic and allergy-safe preparations.
- Driving and mobility logistics: valid driver’s licence and ability to travel safely between client homes where required.
- Basic first aid & emergency response: CPR and first-aid competence to respond to urgent incidents.
Soft Skills
- Empathy and emotional resilience: providing compassionate support while managing emotionally challenging situations.
- Clear communication: concise, respectful verbal and written communication with clients, families and healthcare professionals.
- Time management and organisation: prioritising visits, medication times and documentation within scheduled rosters.
- Observation and attention to detail: noting changes in behaviour, skin integrity or health and reporting accurately.
- Problem-solving and adaptability: responding to unpredictable home environments and adjusting care plans pragmatically.
- Confidentiality and professionalism: maintaining boundaries, data protection and trust in sensitive situations.
- Cultural competence: delivering inclusive care that respects cultural, religious and personal preferences.
- Teamwork and collaboration: working effectively with colleagues, multidisciplinary teams and external agencies.
- Patience and de-escalation: managing distressing behaviours calmly to reduce agitation and maintain safety.
- Client-centred advocacy: representing the client’s wishes, promoting independence and facilitating informed choices.
Education & Experience
Educational Background
Minimum Education:
- High school diploma / secondary education or equivalent; basic literacy and numeracy sufficient for safe record-keeping and medication checks.
Preferred Education:
- NVQ / RQF Level 2 or Level 3 Certificate/Diploma in Health and Social Care (or equivalent).
- Care Certificate completion and relevant statutory training (safeguarding, infection control, moving & handling).
Relevant Fields of Study:
- Health and Social Care
- Community Care / Social Work Support
- Nursing Assistant / Clinical Support
Experience Requirements
Typical Experience Range:
- 0–3 years for entry-level roles in home care; many employers accept motivated candidates with transferable experience (support roles, volunteer work, or family caregiving).
- 2+ years preferred for complex cases (dementia, palliative care, complex medication regimes).
Preferred:
- Prior domiciliary or residential care experience, demonstrable competency with personal care and medication handling.
- Experience liaising with NHS/community health teams, GPs, district nurses, physiotherapists and social workers.
- Valid driving licence and reliable transport for geographically dispersed caseloads (where required).