Embedding physical activity into domiciliary care

Using the COM-B behaviour change model, the approach helped care staff incorporate simple strength and balance exercises into the information provided, supporting mobility, independence, and wellbeing. Training, practical guidance, and embedding into care culture is how this work will be sustained. Early feedback suggests improved confidence among care staff. This preventative approach aims to maintain individuals' mobility, improve quality of life, and contribute to long-term savings across the health and social care system by supporting independence.

Energise Me is a charity that champions physical activity for all in Hampshire and the Isle of Wight. Its goal is to create a happier, healthier and stronger future for local people by supporting people to have the confidence, support and opportunity to be active on their own terms. Its work is helping people to reduce their risk of major illnesses and depression. It is one of 42 Active Partnerships who work with partners to create an active nation.

Older adults receiving domiciliary care are often inactive, contributing to deconditioning, reduced strength, and increased falls risk. Care staff frequently feel they lack the confidence, skills, or time to integrate physical activity into daily routines. A practical, evidence-based intervention was needed to support individuals to move more in the home, whilst not impacting carers' time.

• Applied the COM-B model to understand what care staff need (Capability, Opportunity, Motivation).
• Developed simple client information with safe evidenced based strength and balance exercises.
• Delivered training for care workers on the importance of movement and how to integrate it safely and confidently.

• increased understanding among care staff of the role physical activity plays in maintaining independence
• awaiting end user results
• potential long-term system savings through fall prevention and reduced hospital admissions
• more consistent, preventative practice embedded across providers
• movement from Care to Coaching.

• Incorporation of physical activity prompts into standard domiciliary care training and induction (recorded sessions).
• Continued support from Energise Me and public health teams to reinforce practice.

• Small, achievable movements can make a meaningful difference when delivered consistently.
• Care staff benefit from practical behaviour-change support not just technical training.
• Embedding activity requires cultural change across teams, supported by simple resources and ongoing encouragement and senior management support.

Emily Khural, Health Manager, [email protected]

Health & Care - Energise Me