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Gentle, expert care in the final stages of life, keeping your loved one comfortable, safe, and surrounded by the people and place they love, with our team beside you throughout.
When a loved one is nearing the end of their life, the place they most often want to be is home, in their own bed, near their own things, with family close by. Kome Care makes that possible. Our compassionate, nurse-led end of life care across London is for the final weeks and days, and it focuses entirely on comfort, dignity, and gentle, attentive support for both the person and those who love them.
This is care delivered with the deepest respect. We take time to understand what matters most, whether that is favourite music, a familiar routine, or a quiet hand to hold through the night, and we shape everything we do around those wishes. You will not have to work this out on your own. There is an out-of-hours route to reach our team when something changes overnight or at the weekend, and a clear escalation path to the wider healthcare team involved in the person's care.
End of life care is the specialised support given to someone in the last phase of life, usually the final weeks or days, when the goal of care shifts fully towards comfort, peace, and the quality of every remaining moment. It keeps a person free from pain and distress, protects their dignity, and honours their choices about how and where they wish to spend this time.
It is closely related to palliative care, though distinct from it. Palliative care can begin at any point in a serious or life-limiting illness, sometimes for months or years, and often runs alongside ongoing treatment to improve quality of life. End of life care is the final stage of that: the focused comfort care provided once someone is recognised to be approaching their last days. Most families move from one to the other gradually, and our part is to make that shift feel continuous rather than like starting again.
At home, end of life care means a familiar environment instead of a clinical ward, continuity instead of changing faces, and a calm, unhurried pace set by the person rather than a hospital timetable.
Every decision is measured against a single question: does it bring more comfort, ease, and peace?
Sensitive, gentle care that protects privacy, choice, and self-respect to the very end.
Familiar surroundings, loved ones nearby, and a peaceful pace set by the person themselves.
Care that holds the family too, with guidance, reassurance, and a steady, knowing presence.
Our home-based end of life care is clinically governed and built around the individual. It can be arranged quickly, scaled up gently as needs change, and combined with the input of your NHS, GP, and community palliative teams.
Nurse-led monitoring and relief of pain, breathlessness, nausea, restlessness, and other distressing symptoms in the final stages of life.
Tender help with washing, repositioning, mouth care, and skin care to keep your loved one clean, comfortable, and free from soreness.
Safe administration and timely use of anticipatory ("just in case") medicines, in close liaison with prescribing nurses and GPs.
A calm, listening presence that honours cultural, religious, and personal wishes — for the individual and those at the bedside.
Reassuring overnight, waking-night, or live-in care so someone is always present through the longest and most worrying hours.
Sensitive support to record wishes and preferences, including ReSPECT, DNACPR, and ADRT decisions, and to see them respected.
Round-the-clock access to our clinical team, so a sudden change is met calmly and quickly, without a frightening trip to A&E.
Dignified care in the hours after death and gentle guidance for families on practical next steps and local bereavement support.
A free, no-obligation conversation. We aim to respond promptly during enquiry hours, and urgent end-of-life enquiries are considered individually.
For most people, home is where they feel safest and most themselves. Choosing home-based end of life care brings a comfort that a hospital or unfamiliar setting cannot.
End of life care is never only about the person who is unwell. It holds the whole family. This is one of the most emotionally demanding times any family will face, and our role is to carry as much of the weight as we can, so you can simply be present as a daughter, son, partner, or friend.
Clear, gentle explanations of the changes ahead, so nothing comes as a frightening surprise and you feel prepared rather than powerless.
Overnight and waking-night cover so exhausted family carers can sleep, knowing a skilled professional is watching over their loved one.
A clinical team that is always reachable, to answer a worry at 3am or respond to a sudden change without panic.
A compassionate presence through the final days, and gentle signposting to bereavement and practical support afterwards.
People approaching the end of life often have firm wishes about how and where they want to be cared for. Those may be recorded through an advance care plan, a ReSPECT plan, a DNACPR decision, an Advance Decision to Refuse Treatment, or other documented preferences.
Our part in that is practical. We make sure documented wishes are reflected in the care plan, that staff know where the paperwork is held, that valid care and escalation instructions are followed within our role, and that questions get escalated to the right healthcare professional rather than guessed at.
What we do not do: Kome Care does not make DNACPR decisions and does not determine medical treatment decisions on behalf of the person or their clinical team. Those decisions sit with the clinicians responsible for the person’s medical care, and we would not want a family to be unclear about that.
Some people approaching the end of life are prescribed anticipatory medicines by their clinical team, so that a sudden change in pain or breathlessness can be managed at home rather than through a distressing trip to A&E.
Where administering them falls within our assessed scope for that package, and the individual staff member has the required training and competency, we can include this in the care. We confirm the arrangements in writing before agreeing to provide this element — it is not something we assume by default.
We listen, sensitively and without pressure, to understand your situation and what you need.
A qualified nurse visits promptly to assess comfort needs, wishes, and clinical priorities.
A clear plan is built around the individual and coordinated with your GP and community teams.
Matched carers begin, with 24/7 clinical support and gentle reviews as needs change.
Trusting someone with the care of a loved one in their final days is one of the most significant decisions a family can make. Families across London choose Kome Care because our care is clinically excellent, deeply human, and built entirely around comfort and dignity.
Families are often unsure what happens next, and it is not a question many people feel able to ask in advance. The exact process depends on the person’s circumstances and the arrangements already made with their healthcare professionals.
Our staff follow the agreed care plan, the relevant procedures and the instructions of the healthcare professionals involved. We can also point families towards practical and bereavement support at a point when knowing where to start is genuinely difficult.
We would rather be precise here than reassuring: we do not advertise “care after death” as a defined clinical service. Until the scope, staff competency and operating procedure for that are formally confirmed, it is not something we will claim to provide.
Speak to our nurse-led team in confidence. There is no pressure and no obligation, just compassionate guidance and a free assessment.
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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