Start with a conversation
Most families start when something changes: a fall, a stay in hospital, or a feeling that a parent is struggling more than they say. It helps to write down what is getting harder, such as washing, meals, medication or getting out, and what matters most to the person.
Ask the council for an assessment
Contact West Lothian Council’s social work service and ask for a social care assessment. A social worker will talk about needs, daily life and what is and is not working. You can bring someone with you. If the person is in hospital, the hospital team can start this before discharge.
An assessment is also the route to free personal care and to Self-directed Support, so it is worth asking for even if you plan to arrange care privately.
Decide how care will be arranged
If the council agrees support, you will usually choose one of four Self-directed Support options, from receiving a direct payment to letting the council arrange everything. Some families also arrange care privately, either instead of or alongside council support.
Choose a provider
Check the provider is registered with the Care Inspectorate and ask to see their latest inspection report. Ask how they keep carers consistent, how they handle late or missed visits, and how easy it is to reach the office. A good provider will be happy to answer.
Agree a care plan
Before care starts, the provider should visit and write a care plan with the person and their family, setting out what support is needed and when. Plans should be reviewed as needs change.
This guide is general information, not legal or financial advice. Rules and charges can change, so check with your local council. mygov.scot and Care Information Scotland have more detail.