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Health, Support & Social Care

Technology-Enabled Care in Home Care and Domiciliary Care Services

Delivering safe, responsive care at home is at the heart of what you do, and supporting your teams, maintaining strong CQC ratings, and keeping services sustainable matters just as much. Technology Enabled Care (TEC) makes this easier by enabling your care teams with the insight to provide more person-centred, proactive care, while supporting new business models.  

Access Assure is a proactive monitoring platform that integrates with Access Care Planning. This platform has been designed to easily fit into your existing processes, ensuring that adoption is stress-free and requires minimal changes to how your team works. 

Access Assure uses a purpose-built hub, which does not require Wi-Fi or ethernet. It wirelessly connects through discreet sensors which detect daily routines like movement, boiling a kettle, putting the TV on, and home temperature, all to build a baseline for each person. It then detects changes in this routine and highlights anyone where intervention may be needed. 

This guide is here to walk you through the key phases for introducing TEC successfully in a home care setting. 

Homecare Care Management Technology Enabled Care
6 minutes
HSC Roxana Florea writer on Health and Social Care

by Roxana Florea

Writer on Health and Social Care

Posted 26/01/2026

two middle-aged ladies sitting at a table looking at the screen of a tablet

Three Phases to Success

Phase 1: What TEC Model Do You Wish to Provide? 

When choosing your TEC approach, it helps to think in terms of the kind of care experience you want to offer, both for individuals who receive in-person care or perhaps for those who aren’t quite ready for in-person care just yet. 

TEC enables you to provide new models of working and engaging with your customers, ultimately enabling a preventative, personalised, and participatory care service.  

Below are two practical models - Pre-Care and Hybrid Care; each tailored for private customers and local authorities. Some providers only use one of the models, others choose both. The pathways below are laid out so you can look at what would best match your service and community, knowing you can start small and build over time. 

Model A: Pre-Care  

For Private Customers

We understand that, for many people, choosing in-person care can feel like a big step. The pre-care model recognises this and aims to provide a solution and reassurance to families, while supporting the individual to feel safe in their own home.  This model combines a home hub, motion, door and plug sensors, all set up in the home. The Access Assure app enables the family to see daily patterns and receive notifications when something looks out of routine. 

Insights highlight early signs like increased nighttime or daily activity that may precede risks such as falls. Families can set simple ‘rules’ such as ‘Door opened late at night’, keeping them informed without having to constantly check. 

In section 2 we will look at what services you can overlay on top of this. 

  • The family & friends app offers positive, real-time updates and smart alerts, helping everyone stay connected.
  • The home hub and sensors bring everything into one view; ML/AI dashboards turn patterns into clear prompts, rather than overwhelming teams with data.  

For Local Authorities 

With financial pressures ever increasing for Local Authorities, they face a challenge of balancing budgets with fulfilling their duty of care. Individuals who may not be eligible for in-person care could still benefit from support. By offering a pre-care model, TEC supports earlier intervention and safer independence, providing a lower cost option which aligns with many local authorities’ strategic objectives of focusing on proactive care. 

The AI insights help care staff notice subtle changes days earlier, informing care reviews and community support without the larger initial, larger cost of in-person care. It also documents activity or daily living trends to support assessments and timely interventions. 

Model B: Hybrid Care 

1.For Private Customers 

Hybrid care is a blended model that uses technology-enabled care alongside in-person care. As a care provider your teams are empowered with additional insight outside of the visit times, giving them the ability to provide a more person-centred approach to care. Families receive early warning notifications that support small, timely adjustments - like checking in after an unsettled night, or scheduling a longer visit when bathroom routines change, all while knowing a care team is there to personalise the care as a result. The experience is personal and participatory, meaning that families can tailor preferences, and care workers see clear prompts inside the tools they already use, helping them act quickly and compassionately.  

2.For Local Authorities 

Many authorities are embracing or moving to a trusted assessor model. Hybrid care supports this by providing an evidence base for care decisions. As an example, if an individual is only showing signs of activity during a care visit, this could be used to justify an increase in the in-person care, which could support the person to stay in their own home for longer and delay a move into a higher care setting.

How to decide: practically and compassionately

Start with the people behind the data: If the goal is peace of mind with light-touch oversight, begin with Monitoring Only for private clients and expand to Proactive Outreach when a stronger safety net feels right. If your local authority needs evidence-based decision making, adopt the hybrid model. In all cases, keep the experience personal and participatory: let insights flow through existing care apps, invite families into the loop with tailored alerts, and use pattern-based prompts to guide calm, timely decisions.

Phase 2: Decide on your service wrap and revenue levels 

Once you’ve chosen your TEC model, the next step is deciding what type of service you wish to wrap around the technology offer. 

Will you provide the technology for self-install and monitoring or enable your care team to install it? 

Will you actively monitor data and reach out to service users or families when something changes, or provide a self-monitored solution?

Monitoring Only 

You supply the hub, sensors, and app, giving families real-time reassurance and smart alerts. This is ideal for private customers who want independence with peace of mind. It’s a lighter-touch model with lower overheads and a lower cost.  

Proactive Outreach

You add a wraparound service - monitoring wellbeing trends and making outbound calls when patterns suggest risk. This hybrid approach suits local authorities or providers aiming to prevent crises and support early intervention. It can include welfare checks, care note updates, and escalation to families or community teams, creating a more participatory care experience. 

Your choice affects revenue and staffing: monitoring-only models are simpler, while proactive outreach adds value and opens new income streams. Either way, the goal is the same - keep people safe, reduce stress for families, and make care delivery easier for your teams.

Phase 3: How will you market and resource this? 

To make TEC successful, you need a clear plan for promotion and delivery. Start by sharing real stories - families feeling reassured, care teams saving time, and clients staying independent. Use simple videos, testimonials, and social posts to show the benefits in everyday language. Internally, appoint TEC champions and train teams so they feel confident explaining the service. 

On the resource side, decide who will manage alerts and outreach. Will this sit with your office team, or a dedicated coordinator? Build this into rotas and consider subscription tiers for private clients or local authority contracts to create sustainable revenue. The goal is to keep marketing practical and resourcing realistic, so TEC feels like a natural part of your care offer.

elderly lady checking her smart watch

Common Questions

What if staff will feel hesitant toward this change?

Meet teams where they are. Access Assure sits inside the systems they already use, minimising learning curves. Involve coordinators and senior care workers early, share fast, practical wins, and ensure visible leadership support. Emphasise how it reduces stress and supports judgment and that it doesn’t replace it.  

How can we support the staff?

Access Assure connects with Access Care Planning so data flows into existing tools with single sign-on, supported by AI summaries.  

How to Get Started

Access Assure gives you: 

  • Integration with Access Evo, including Access Care Planning
  • Data rich platform for activity, telecare, and environmental sensors.
  • Automated insight generation and clear alerts through ML/AI driven views.
  • Implementation support and training for managers, coordinators, and care workers.
  • Proven results across councils and care providers.  

The Access Approach: Prevent, Reduce, Delay

The Access approach is all about making care safer and more sustainable by focusing on prevention first. TEC helps you spot early signs of risk and act before problems escalate, reducing avoidable hospital admissions and supporting independence at home. By shifting from treatment to proactive intervention, you can keep people well for longer, ease pressure on your teams, and deliver care that feels personal. It’s a simple, practical way to prevent crises, reduce costs, and delay the need for more intensive support. 

Focus on what matters most for your service, choose a simple starting point, and let the technology work quietly in the background through the tools your team already knows. Celebrate the positive changes as they happen, and let growth come naturally as confidence builds. 

Explore how this could work for you. Reach out to us at [email protected]. We’re here to help you get started. 

HSC Roxana Florea writer on Health and Social Care

By Roxana Florea

Writer on Health and Social Care

Roxana Florea is a Care writer within the Access Health, Support and Care team.
 
Holding a Bachelor of Arts in Creative Writing, she is passionate about creating informative and up-to-date content that best supports the needs and interests of the Care sector.
 
She draws on her solid background in editing and writing, breaking down complex topics into clear approachable content rooted in meticulous research.