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Consistent, person-centred autism support at home in London, shaped around each person's routines, communication style, and sensory needs.
No two autistic people are alike. Kome Care provides skilled, consistent, person-centred support at home for autistic adults across London. Our carers are trained to value the things that make day-to-day life feel safe: a familiar routine, familiar faces, and a communication style that suits the person in front of them.
Maintaining consistent, personalised daily structures that reduce anxiety and build confidence.
Understanding and accommodating individual sensory sensitivities across all aspects of daily life.
Using each person's preferred communication methods, whether that is AAC, Makaton, or visual supports.
Positive behaviour support strategies implemented consistently to promote wellbeing and safety.
Supporting community access, social participation, and skills development at the individual's pace.
Working alongside families so that approaches stay consistent and the pressure on relatives eases.
Our autism support is for autistic adults across London, including those with co-occurring conditions or more complex support needs.
Free consultation, no obligation. We aim to respond promptly during enquiry hours.
We discuss your situation sensitively and without pressure.
A qualified nurse visits to understand needs fully.
A detailed care plan is built around the individual.
Your matched carer begins, with 24/7 clinical support.
Behaviour is a form of communication. If someone becomes distressed, overwhelmed, or behaves in a way that creates risk, the first question should not be “how do we stop this?”
It should be what happened beforehand, what the person may be trying to communicate, whether they are in pain or discomfort, whether something sensory is involved, whether a routine changed, whether communication broke down, whether the demands became too much — and what normally helps this particular person regulate.
Where someone already has an agreed Positive Behaviour Support or behaviour-support plan, appropriately trained staff follow it. We would not describe every Kome care professional as a behavioural specialist unless their training and competency actually support that claim.
This distinction matters, and it is one the care sector gets wrong regularly. Autism is not in itself a reason to describe someone’s care as clinically complex. Plenty of people need well-designed support with communication, routines, daily living, community access, independence or personal care without needing any significant clinical intervention at all.
Treating autism as a clinical problem to be managed makes support feel medical when it should not, and it can cost someone the autonomy the support was meant to protect.
Communication, autonomy, relationships, routines, goals and independence.
Significant clinical need, healthcare interventions and the clinical governance that goes with them.
Some autistic people do also have significant healthcare needs — epilepsy, diabetes, enteral feeding, catheter or stoma needs, respiratory needs, complex medication or significant pressure-area risks. Where that is the case we assess the clinical need separately from the autism support need, and where the interventions are significant the package runs through our complex care pathway.
Where support includes washing, bathing, dressing, oral care, continence, toileting, grooming or menstrual care, sensory preferences, communication, privacy and consent carry more weight than usual. Intimate care is where a mismatch is felt most sharply.
Those preferences go into the care plan rather than being left for a care professional to work out on the day. Explore personal care at home.
For many autistic people, a support relationship only works when it stays consistent. We do our best to send the same carers to each person, and when a new face is needed we introduce them slowly, using social stories, gradual introductions, and planned transition support so that change never feels abrupt.
Where families and professionals such as speech and language therapists or occupational therapists are already involved, and appropriate information-sharing arrangements are in place, we follow the strategies everyone has agreed so they are carried through consistently. We keep families up to date with regular, accessible progress reports. We describe these as working relationships only where one actually exists and can be evidenced.
We provide this service across the areas below. Each page covers the neighbourhoods we reach and how to arrange care there.
See every area we cover across London. Not listed? Ask about your area — we will tell you honestly whether we can build a safe, sustainable team where you are.
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