Social care at home

Social care at home is intended for persons who are entitled to the service and have guaranteed living and other conditions for living in their living environment, however, they cannot care for themselves due to age, disability or chronic disease, their relatives cannot provide such care or have no possibility to provide care. This service involves various forms of organised practical assistance and chores which enable the persons entitled to the service to replace the need for institutional care at an institution, another family or in other organised form.

The service is adapted to the needs of an individual beneficiary and the following sets of tasks:

  • assistance at basic daily chores including assistance at changing clothes, assistance at washing, feeding, performing all basic life necessities, maintaining and caring for personal orthopaedic devices;
  • assistance in the household, including: delivering at least one prepared meal or purchasing food and preparing one meal, washing the dishes, basic cleaning of the residential part of the rooms by removing waste, making the bed and basic maintenance of the bedroom;
  • assistance at preserving social contacts including the following tasks: establishing the social network with the environment, volunteers and relatives, accompanying the beneficiary at the performance of urgent obligations, informing institutions on the condition and needs of the beneficiary and preparing this person for institutional care.

The beneficiary is entitled to assistance at home if they need at least two tasks out of different tasks of chores from the previous paragraph.

The beneficiaries to social care at home are:

  • persons older than 65 years who due to their age or age-related symptoms are not capable of completely independent life;
  • persons with disability status under the Act Concerning Social Care of Mentally and Physically Handicapped Persons who are according to the assessment of the competent commission not able to live independently, if the level and type of their disability enable occasional care at home;
  • other disabled persons who have the right to assistance and care for performing most functions for life;
  • chronically ill and persons with long-term health disorders who do not have the disability statues, but are according to the assessment of the competent social work centre incapable of independent life without the occasional assistance of another person;
  • very ill children or children with severe physical or severe or profound mental disorder and are not included in an organised care.

The social care at home procedure is a professionally managed process and an organised form of practical assistance including professional worker, professional co-worker, direct care provider, beneficiary and key and responsible family members.

The service starts upon the request of the beneficiary or their legal representative and comprises two parts.

The first part comprises the establishment of eligibility to the service, the preparation and conclusion of the agreement in the scope, with the duration and method of service implementation, the organisation of the key environment members and the implementation of introductory meetings between the service provider, the beneficiary or the family.

The second part of the service includes the service management, coordination of service providers and their guidance, cooperation with the beneficiaries at the implementation of the agreement and in complicated living situations of the beneficiaries, and direct implementation of the service at the beneficiary's home according to agreed contents and in the agreed scope.

Changes or amendments to the concluded agreement in the scope, duration and the method of the implementation of the service can be proposed by the service provider and their legal representative.

The duration of the professional preparation of the service implementation in the form of case analysis, the preparation of the agreement in the scope, duration and the method of the implementation of the service, the organisation of the key environment members for the cooperation at providing assistance and the implementation of the introductory meeting between the representatives of the service provider and the beneficiary in average lasts eight hours per beneficiary or up to 12 hours per couple. Direct implementation of the service at the beneficiary's home can be implemented all days in a week or up to 20 hours in a week at the most. If, due to the needs of the beneficiary, the service is performed by two direct social care providers, the number of hours per month can increase by maximally one third.

Work methods

social care at home is performed according to the work method with an individual or a family, if the work with the community method is used, direct forms of assistance to the beneficiary are implemented according to the principles of adapting the implementation of the service to the environment, where the beneficiary lives.
Supervision and education

supervisory consults for direct care providers are also part of the service, i.e. at least eight hours per year, and at least 10 hours per year for professional workers or professional co-workers. Professional education is implemented in the scope as determined by the branch collective agreement for each group of service providers.

Conditions and evidence

Last updated: 27. 11. 2015