Conditions

Care at home for sight loss

Practical help and company for someone losing their sight: reading the post, getting out, managing medicines, and a home that stays where they left it.

Sight loss in later life

Common causes include age-related macular degeneration (AMD), glaucoma, diabetic retinopathy and cataracts (NHS). RNIB has advice and support for people with sight loss and their families.

Registering as sight impaired

If an ophthalmologist says someone is sight impaired (partially sighted) or severely sight impaired (blind), they can register with their local council. This can help them get low vision support and services, and means they can apply for benefits.

Seeing things that aren't there

Some people who have lost a lot of their sight see things that are not real. This is called Charles Bonnet syndrome. It is not caused by a mental health problem or dementia, and knowing that can be a great relief.

What a carer does

  • Reads the post and bills, and helps deal with them
  • Helps with medicines when the labels can't be read
  • Never moves things without saying, so the home stays familiar
  • Guides on walks, shopping and appointments
  • Describes the world: who is there, what has changed, what is on the plate
  • Helps with cooking and housework safely
  • Company, conversation and keeping up hobbies

At home

  • Good, even lighting, with extra light where tasks are done
  • Strong colour contrast, for example on step edges and light switches
  • Clear walkways, as sight loss raises the risk of falls
  • A place for everything, kept the same

Care and clinical care

Carers give personal and practical care. Clinical tasks, such as injections, wound care or changing a catheter, come from the NHS team unless a carer has been trained for that specific task and it has been agreed with the team. Tell us about all care needs up front so we only introduce carers who can help safely.

Which care fits

Hourly visits a few times a week suit many people, often for the post, shopping and appointments. Companionship care helps with loneliness, and live-in care suits someone who needs help through the day.

Help paying for care

Rates and rules checked against GOV.UK and the NHS in October 2026. Benefit rates usually change each April.

  1. Tell us about them

    The diagnosis, how they are now, routines, and what matters to them.

  2. See matched profiles

    Profiles say what experience each carer has, so you can choose with care.

  3. Speak first

    Talk to carers by phone or video call before you agree to anything.

  4. Care starts

    You and your carer agree the routine, and change it as needs change.

How carers are checked

Before LCH Care introduces a carer, we check their identity, right to work in the UK, Enhanced DBS, two references, work history, and relevant training or qualifications. Carers also hold their own public liability insurance. You then speak to the carer by phone or video call before you agree to anything.

Other conditions

Questions

Can a carer help with the post and bills?

Yes. Reading the post, and helping to deal with it, is one of the most useful things a carer does for someone with sight loss.

What is Charles Bonnet syndrome?

Seeing things that are not real after losing a lot of sight. It is not caused by a mental health problem or dementia.

Should my relative register as sight impaired?

Registering, after an ophthalmologist's assessment, can help them get low vision support and services, and means they can apply for benefits.