As the leading provider of bespoke Care for older persons in Dominica, we pride ourselves in offering superior levels of service and support at every stage.
We offer:
• Individually tailored Care packages
• Temporary & permanent solutions, with complete flexibility
• Specialist packages for couples
• Experts on-hand to guide you through the process
• 24/7 support and total discretion
• Highly trained and compassionate Carers and Registered Nurses
• Trustworthy support from the entire team


At PHARCS we understand the difficulties in trying to find the most appropriate care for your elderly loved ones. We also understand that moving away from home comforts and normal daily routines can be highly stressful and uncomfortable at any age and particularly for the elderly.

For some, moving to a residential home may be an attractive option however, we understand that many elderly persons, they would prefer to stay in the comfort of their own home so that stability, routine and comfort can be maximised. PHARCS Home Care gives your loved one care and support in the comfort of their own home. There really is no place like home. PHARCS Home care gives older persons all the support they need to stay in the place they love – home – for as long as possible.

The support we provide ranges from simple practical support with everyday living tasks, such as housework, shopping, laundry, correspondence and other paperwork, through to help with personal care (washing, dressing, medication etc.), making or eating meals, and even higher-level clinical or nursing support.

In many cases, our staff also support older people to maintain their family and social lives, escorting them outside the home – for example to social functions or medical appointments. In additional to general support for older people, we also specialise in supporting people with particular age-related health conditions, such as Dementia.

We offer a variety of care packages for elderly people within their own home; hourly care; overnight care and live-in care are all available for elderly clients. Our Carers can provide a variety of services including; personal care and hygiene; domestic help; medication prompting; companionship; mobility assistance and more specialised care. Our carers can help your loved-one remain independent and active in their local community so that that they will not have to compromise on their independence and activities that they enjoy.

Services you can choose from:

  • Reminding and assisting with medications
  • Assistance with using the toilet, commode or toilet aids
  • Washing up and other general housework tasks, such as cleaning and ironing
  • Sorting, washing and drying of clients’ clothing, bedding, towels and other domestic washing
  • Collection of prescriptions
  • Purchase of items on a shopping list
  • Collection and delivery of allowances and pension benefits
  • Accompanying to a required appointment
  • Companionship including accompanying your loved one on travels
  • Preparation of nutritious homemade meals
  • Assisting with feeding
  • Assisting to wash, help with oral hygiene and shaving
  • Assisting with dressing/undressing
  • Moving/transferring clients in or/and out of bed


PHARCS offers respite care for older people who need extra support following an operation or illness, or while their regular carer takes a well-earned break. Being a full-time carer is a very demanding role. Respite care breaks are an opportunity for carers to take a holiday or simply spend some time looking after their own needs, safe in the knowledge that their loved one is receiving the very best care. Respite care can be a valuable break for older people too – it’s a chance to meet new people, enjoy a change of scenery and try out some new activities and experiences.

We tailor our respite stays to each person’s individual needs and our nursing and care teams have specialist expertise in supporting older people who have Alzheimer’s and other forms of dementia, physical disabilities or restricted mobility. Respite care can last for just a few days or as long as is needed.

We understand that it’s the personal details that make a difference. We take the time to get to know our respite clients before they arrive, so we can be sure that their stay gets off to a great start. Each respite client has a personal care plan that takes into account their support needs, interests, likes and dislikes, and daily routines. Friends and family are welcome to visit at any time and can join their loved one for mealtimes or arrange special outings with them.

We encourage respite clients to take part in the life of the home during their stay. At the heart of our care philosophy is something we call Activity Based Care, which means giving every resident and respite client opportunities to stay as active and independent as possible.PHARCS nurses can provide home care support for a wide range of medical and healthcare needs.  This includes help to give injections or dressing wounds.

Our trained team of professional carers can provide the highest level of care to maximise comfort and quality of living. We can, if required provide a 24/7 live-in service.


We know that everybody needs time to recover when returning home from hospital. At PHARCS we can help with everything that’s needed after surgery or treatment for an illness. Our experienced care workers will assist with a elderly person’s rehabilitation and offer expert care during the recovery period.


PHARCS Residential care is for older people who find it increasingly difficult to manage at home even with additional help and support. The care in a PHARCS home is based on love, kindness and professionalism to ensure each Resident enjoys a fulfilling life

When life changes for you or a loved one, PHARCS Care Home offers 24-hour residential, nursing, dementia and respite care. Care is at the heart of what PHARCS does best and every member of our team is chosen for his or her empathy and dedication to the profession. Our primary aim is to provide independence, privacy and dignity for all our residents. Life in our care homes is all about helping people to enjoy more independent and fulfilling lives.

PHARCS Care Home is an elegant and spacious place to live well, from our thoughtfully designed home that has a variety of beautiful living areas throughout. Each bedroom has an en suite bathroom and there are spaces throughout to relax, socialise, enjoy delicious chef-prepared meals or indulge in hobbies.There is a true community spirit at PHARCS. The lovely grounds are perfect for walking, gentle exercise or even gardening. In following our commitment to wellbeing, we have a  programme of optional activities, from cookery classes to  entertainment, outings and relaxation activities such as manicures and even dance classes every Saturday morning!

We want residents and their families to look upon our care homes as their own – from the very first day they move in. So, as a valued family member you are welcome to drop in anytime and to stay as long as you like. Our homes have active relative and resident committees to encourage feedback, to make plans and to share information. We’d love you to get as involved as you can.

We understand that a loved one’s move into a care home can be a difficult time for everyone involved. We try to make the move as easy as we can. It helps if families and loved ones get to know members of our care team ahead of their moving in date. So, we recommend that you spend time visiting the home, talking to staff and getting to know other residents. These visits will help your loved one settle in more quickly and you will have the peace of mind that they are in safe hands and being well cared for.


People with symptoms of dementia may have problems with their memory such as:

  • remembering events or experiences they’ve had;
  • recalling facts and/or concepts about their world;
  • remembering how to do normal tasks;
  • thinking ahead of what needs to happen in the future;
  • recognising objects;
  • performing everyday activities; or
  • understanding and using speech/language

Dementia covers a range of symptoms, which can include confusion and problems with memory and communication. It is not a disease in itself, rather a set of symptoms accompanying conditions that affect the brain, the most common of which is Alzheimer’s Disease. Dementia is progressive which means that symptoms will gradually get worse. Each person is affected in a different way. It can be extremely difficult and distressing to watch the impact of this condition on your loved one, especially as the symptoms worsen.

What are the Symptoms of Dementia?

The Alzheimer’s Society originally published the following ten signs of dementia. If you recognise these symptoms in your loved one, speak with a doctor.

  1. Experiencing difficulty remembering recent events while past events are easily recalled
  2. Finding it hard to follow conversations or programmes on the TV or radio
  3. Forgetting the names of friends or family or the words for everyday objects
  4. Repeating the same stories
  5. Losing the thread of a thought or a conversation
  6. Finding it difficult to think or reason through a situation
  7. Feeling anxious, depressed or angry about forgetfulness
  8. Comments from other people about your loved one’s memory problems
  9. Feeling confused, even in familiar environments and scenarios
  10. Increasing difficulty in reading, talking and writing

What makes the symptoms of dementia worse?

There are a number factors that can worsen or speed up the effects of dementia. These are known as “triggers”.

Not getting the proper nutrition or drinking enough water.

Sleep is very important and is considered to be restorative.  If your loved one is unable to sleep (which can also be a symptom), then this can have an impact and increase or worsen symptoms.

Strong emotions such as loneliness, boredom or helplessness can having a negative impact on symptoms. Additionally, constant levels of fear or highly stressed situations can contribute to worsening symptoms.

Symptoms of dementia can get worse if the person isn’t getting the proper nutrition or enough water.

Is it possible to reduce dementia symptoms?

At PHARCS we believe it is possible to reduce the symptoms of dementia and improve the quality of life for your loved one.

We have proven that by:

  • addressing the triggers listed above;
  • encouraging positive relationships; and
  • social interactions

It is possible to reduce the symptoms of dementia and improve the quality of life of your loved one. At PHARCS, our compassionate care teams are highly experienced and work closely with families and healthcare professionals to create personalised dementia care plans based on personal history, preferences, and the latest research from experts in the field.

Our aim is to enable residents living with dementia to continue to enjoy a happy and fulfilling life.

Dementia is a disability, not an illness. With the right environment the effects of dementia can be managed so that your loved one can continue to have a rich and meaningful life.We believe we have the experience and expertise to help your loved one living with dementia to enjoy an enhanced quality of life.

Dementia Care at Home

Nothing beats the familiarity of Home! 

Nobody really wants to move to a care home. Most of us want our loved ones to receive care at home for as long as possible. This allows your loved one to stay around his or her memories and possessions and where they feel most comfortable. With care at home, your loved one receives all the attention they need from a dedicated care professional and you decide on the level of support you or your loved one needs.

Moving into residential care

As dementia is a progressive condition and as the condition progresses the symptoms become severe and individuals lose the ability to carry on conversations, to respond to their environment even to control movement.  Your loved one’s  needs will change to  such an extent that it may be difficult or even impossible to continue to care for your loved one at home.

As your loved one’s condition deteriorates It may become difficult or impossible for you or the person caring for your loved one to provide the level of care needed by your love one alone. We understand how difficult it can be to make the decision to move your loved one into residential care.  It is entirely normal to feel confused or unsure.

If you feel that you can no longer provide the care that your loved one need to help him or her live well at home, then it may be better to consider a move into residential care. For example if your loved one’s safety or your safety is at risk then it might be the right to to think about moving your loved one into residential care.

We know that at the forefront of your mind will be what is in the best interests of your loved one and you will want to ensure 24-hour supervision as well as an improved quality of life. Social contact is also important for someone who may have become isolated. Residential care is sometimes the only option, even if the your loved one does not agree.

We know how difficult making the decision to move a loved one into residential care can be so we at PHARCS are on hand to support and advise you through the process. If the time comes when you are considering moving your loved one into care PHARCS is ensuring a home away from home with the added security of 24-hour supervision, an improved quality of life and social contact for someone who may have become isolated.

We will consider all options with you so that you can make the right choice for you and your loved one.

PHARCS ensures the transition into residential care is dealt with in a very positive way for everyone involved ensuring you are fully informed throughout the process.

You can count on our support every step of the way.


PHARCS provides 24 hour Nursing care for older people who have health needs and either require greater support than can be provided in their current home, or who are recovering from a significant health issue.  Our Nursing care is provided by qualified and dedicated nursing staff in an environment specially adapted to each Resident’s needs. Our Nurses focus on delivering compassionate, individually tailored care of the kind we would expect for ourselves and our loved ones. Nursing staff are trained to recognise symptoms and changes in a person’s condition, so are better qualified to decide when to call a doctor or other health professional.

We offer 24-hour care for people with a wide range of needs including long-term medical conditions and physical disabilities. To be sure residents have the best of care our own nursing teams are supported by a visiting local General Practitioner and each person’s individual care is planned under the GP’s supervision. To make sure each resident always gets the care most appropriate for their needs, every person has their own individual Care Plan. This is developed with the involvement of the resident wherever possible and their loved ones. These plans help our teams to understand and respect each person’s wants and wishes.  Every Care Plan is reviewed on a regular basis.

The PHARCS Nursing team is dedicated to:

  • Working with patients and their family, friends and medical advisors, to formulate plans of care that support their independence, dignity and privacy, and that consider their individual needs and capabilities
  • Ensuring that the care, treatment and comfort provided is the best possible
  • Extending help, understanding and support unconditionally wherever and whenever required
  • Creating a happy, caring and safe environment, and the maintain and enhance each individual’s quality of life
  • Providing high quality nursing care with sensitivity and understanding within a happy, warm and comfortable environment
  • Offering a reassuring and homely environment that is always open and welcoming to relatives and friends
  • Treating residents as individuals


Palliative Care is ‘end of life care” and is support for people who are in the last months or years of their life. Palliative Care we provide is specifically designed to help you or your loved one live as well as possible and to die with dignity.

We believe that people approaching the end of life are entitled to receive the highest quality care – wherever they are being care for. At PHARCS, we are experts in providing superior, specialist Palliative Care for individuals with terminal illnesses.  This can be in their own homes or at one of our care homes.

We understand that at such a stressful and sensitive time, specialist nursing care and trustworthy support can make a huge difference to how you cope with such a diagnosis. Our team of Registered Nurses and Carers have a wealth of Palliative Care experience, and are experts at providing practical and emotional support and care for the patient and their loved ones. Our team specialises in creating personalised care plans that work for individuals and their families. So whatever the circumstances, we know how to help. As the leading provider of bespoke Palliative Care in Dominica, we pride ourselves on offering superior levels of support as and when it’s needed. We will make sure that the focus remains on what is most important during this difficult time – yours or your loved one’s comfort.

We offer:

  • Superior, bespoke Palliative Care packages
  • Clinical expertise, with highly trained, skilled Registered Nurses and Carers
  • The ability to work in conjunction with other professionals
  • Medication management with an emphasis on pain-relief
  • Advice on equipment
  • Experts on-hand to guide you


 Our services are highly personalised to suit specific needs, so all pricing is customised too. If you’d like to discuss your Nursing or Palliative Care needs and potential costs, please contact one of our experts, who would be happy to help.

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