Support plan adapted to the needs and resources of the elderly person: body movements, management of meals, housekeeping (cleaning, laundry, etc.)

Care adapted to the needs of the elderly person: bringing healthcare to people’s homes (technical nursing care, preparation of medicines, care procedures, etc.)

Continuity of the elderly person’s social life: social participation (company, social and leisure activities at home and outside the home, social calls)

Caregiver support services: support for the caregiver (support groups, information sessions, etc.)

Assessment and adaptation of the elderly person’s house: assessment and necessary adaptations of the home, help with administrative procedures, monitoring of the work, supply of equipment to make the home safe

Organisation and coordination of care and support plans adapted to the needs of the elderly person: assessment, implementation, updating and monitoring of the care plan and the support plan (organisation of interventions, information for family members and keeping in touch with them, organisation of the transition from hospital – town – home)

Home monitoring and safety: detection of risk factors for falls, risk of undernutrition, cognitive disorders, signs of vulnerability, identification, analysis and management of the risk factors detected, home monitoring visit

Emergency management: provision of remote care, provision of fall prevention devices, organisation of alert verifications, intervention at home for alert verifications, 24/7 on-call duty, temporary accommodation

Activity management: budgetary and administrative management, supervision of practices, internal and external communication with drafting of activity reports, coordination of relations with partners, social workers, territorial cooperation, links with treating doctors, etc.