Help Now Healthcare provides dementia and Alzheimer’s care at home across Ontario — from a few hours of company and supervision each week through to personal care, overnight support and nursing visits. Care is delivered in the person’s own home, which is usually the one environment they still navigate by memory.

Hands turning the pages of a photograph album

Call toll-free 1-888-507-6236, or book a free care consultation. There is no charge and no obligation afterwards.

Why home often works well with dementia

Someone living with dementia relies heavily on what is familiar — the layout of the kitchen, the order of the morning, the chair by the window. Familiar surroundings do a great deal of the remembering on the person’s behalf. That is why a change of setting is often harder for someone with dementia than for anyone else in the same situation, and why families frequently want to delay it for as long as it is safe to do so.

We are careful about what we claim here. In-home care does not slow or reverse dementia. What it can do is keep the day predictable, keep the person safe, keep them in company, and take enough weight off the family that the arrangement lasts.

The behaviours families call us about

These are described in dementia care as responsive behaviours — the term matters, because it frames them as a response to something rather than as the person being difficult. There is nearly always a reason underneath, and finding it is most of the work.

What the family seesWhat is often underneath itWhat a trained worker does
Asking the same question over and overThe answer is not being retained, and the anxiety behind the question isAnswers calmly each time, and deals with the worry rather than the question — often a written note where the person will find it
Wanting to leave, or leavingLooking for a place or a person that made sense in an earlier part of life, or simple restlessnessWalks with the person rather than blocking the door, redirects gently, and makes sure the home is set up so that leaving unnoticed is hard
Getting worse in the late afternoonTiredness, low light and a day’s accumulated confusion — commonly called sundowningShifts the demanding parts of the day earlier, puts lights on before dusk, keeps the late afternoon calm and unhurried
Refusing a bath or personal careFeeling cold, exposed or rushed, or not recognizing why a stranger is in the bathroomBuilds the relationship first, explains every step before it happens, and works to the person’s own routine rather than the schedule
Anger or accusationFrustration at lost capability, or a genuine belief that something has been takenDoes not argue or correct, steps back, gives space and returns — and records what happened so a pattern can be spotted
Not eatingForgetting to eat, not recognizing food, or difficulty swallowingEats alongside the person, keeps food simple and visible, and reports the change — because swallowing difficulty needs assessing, not managing
A change in behaviour is information, not just a problem. A sudden change — new confusion over days rather than months, a new fall, sudden incontinence — can be an infection or a medication effect rather than the dementia progressing. Our workers are trained to report changes rather than absorb them, and that report goes to you and, where you want it, to the family doctor.

Keeping the home safe

What we look at on the first visit

Most of what makes a home safer with dementia costs very little. We will tell you what to change whether or not you go on to book care.

LeavingDoors and exits

Where the person tends to head, how the doors are secured, whether an alarm or a chime helps, and whether the neighbours and the local service know who lives there.

FallsFloors, stairs and lighting

Rugs, cables, thresholds, the route to the bathroom at night, and whether the lighting is good enough at the times of day that matter.

KitchenThe stove and the taps

Whether the cooker is still safe to use unsupervised, hot water temperature, and what has been left in the fridge past its date.

MedicationWhat is being taken, and when

Whether doses are being missed or doubled, and whether a blister pack or a locked box is now the safer arrangement.

Who provides the care

Dementia care is not a single job. It usually starts with company and supervision and adds hands-on help as it is needed. The three levels are set out in full on our home care services page.

Usually firstSupport workers

Company, supervision, meals, the shopping, and getting out of the house. Often the whole answer for a long time, particularly where a spouse simply needs a break.

As needs growPersonal Support Workers

Bathing, dressing, toileting, transfers and mobility, medication reminders, and reporting the changes that matter.

Where it is clinicalNurses

Assessment and care planning, medication administration, wound and skin care, and the clinical questions a family should not be left to judge alone.

Alongside any of themTherapy and social work

Occupational therapy for home safety and daily function, physiotherapy for mobility, speech-language pathology where swallowing is a concern, and social work for the family.

The part nobody asks about: the caregiver

In most of the households we visit, the person doing the caring is a spouse in their seventies or eighties, or an adult child holding down a job. They are usually the reason the arrangement is still working, and usually the person closest to the end of their rope. They rarely call for themselves.

Respite is a legitimate reason to book care, and it does not require a crisis to justify it. A regular four-hour block, the same day each week, so that someone can go to their own appointments, sleep, or leave the house without planning it like an operation, is often what keeps a person at home for another year.

When home may no longer be the right answer. We will say so. If someone is not safe overnight and will not accept overnight support, if the physical care has gone beyond what can be delivered in the home, or if the caregiver’s own health is failing, more hours is not the honest recommendation. We would rather tell you that during a free consultation than sell you a schedule that will not hold.

Where we provide it

Across our Ontario service areas — the GTA, Halton and Hamilton, Niagara, Waterloo Region and Wellington, southwestern Ontario, Simcoe, Grey and Bruce, central and eastern Ontario, and the north. See the full list of communities we cover.

Talk it through with a care advisor

Tell us what a normal day looks like at the moment and what part of it has stopped working. We will tell you what level of care fits — including when the answer is less than you expected, or a service other than ours.

Call toll-free 1-888-507-6236Book a free consultation

Related: Home care services in Ontario · Transportation and escort support · Common questions about cost, scheduling and caregiver screening

Dementia care at home across the Greater Toronto Area

We provide dementia and Alzheimer’s care at home throughout the GTA. Choose your city to see what care looks like locally: Toronto, North York, Scarborough, Etobicoke, East York, Mississauga, Brampton, Markham, Vaughan, Richmond Hill, Thornhill, Oakville, Burlington, Milton, Pickering, Ajax, Whitby, Oshawa, Newmarket, Aurora. If your city is not listed, see all the places we serve or call 1-888-507-6236.

Dementia care in depth, city by city

Toronto · Mississauga · Brampton · Scarborough