Published
9 April 2025
Category
Frailty Management / Assisted Living
client
Mrs Hilda Rawlings – Nottingham
Hilda Rawlings
01. The Challenge & Solution
Mrs Rawlings, aged 89, had begun skipping lunch and falling asleep in the armchair fully dressed. Her son, who works offshore, worried about dehydration and skin integrity. Bondage Valley proposed the Live-In Assisted-Care tier for six weeks, with Christine—an NVQ Level 3 carer experienced in frailty nutrition—staying in the spare room.
“Mum regained her sparkle in a fortnight; the difference over video calls was astonishing.”
— Paul Rawlings (son)
02. Working Process
48-hour assessment – MUST malnutrition score, Waterlow skin assessment and medication audit.
Structured day – 08:30 wash & dress, 12:30 hot lunch cooked from scratch, 15:00 escorted garden walk, 19:30 medication and gentle stretches.
Fluid-intake chart logged to the family portal, with alerts if daily target < 1.5 litres.
Social re-engagement – Christine arranged weekly dominoes club lifts via community bus.
03. Perfect Result
MUST score improved from 2 (medium risk) to 0.
No further daytime naps in the chair; Mrs Rawlings now lies down for scheduled rest.
Son reduced offshore check-in calls from daily to twice weekly, citing “peace of mind”.
Carer stepped down to Alternate-Day Enhanced package at week 7, saving £300 per week.