Specialised-Home-Care-Heade

Specialised
Home Care

For clients with more complex needs, we offer advanced care delivered by trained caregivers, supported by experienced Service Coordinators and overseen by a Registered Nurse.

By targeting care where it’s most effective, we help ensure quality support while keeping arrangements sustainable.

Palliative & End of Life Care

At Miranda Smith Homecare, we consider it a privilege to support families during this deeply personal stage.

At Miranda Smith Homecare, we consider it a privilege to support families during this deeply personal stage.

Palliative and end of life care is an emotional and challenging time for clients and their families. Our experienced caregivers provide care with compassion, flexibility and clinical insight, adapting as needs change rapidly.

Our aim is to help clients remain comfortably in their own homes, surrounded by family and a home full of memories. We are here to provide not just expert care, but genuine reassurance - ensuring comfort, respect, and peace of mind at every stage.

We work closely with hospice and community services to ensure continuity of care.

Magazine with reading glasses

"Dad passed away at 5.50 this evening. We have asked Sharon to stay until her shift ends tomorrow – She is such a comfort for Mum. I would like to thank you and say how compassionate Sharon and Kerrie Anne were – so gentle and caring. What marvellous examples they are for Miranda Smith palliative care. Thank you that we were able to get Dad home. It meant so much to all of us."

Miranda Smith Client

Sleepover & 24-Hour Home Care

We provide care 24 hours a day, 7 days a week for support when it matters most.

Having someone stay overnight can ease anxiety, reduce falls risks, and allow family members or full-time carers to rest. We offer two overnight options:

  • Sleepover care – a caregiver sleeps on-site and is available if needed
  • Night duty – a caregiver remains awake throughout the night

For those needing continuous support, we also provide 24-hour care, either short or long term. This is ideal for clients requiring hospital-level care, complex support, or post-operative recovery.

Our goal is to help you remain safely and comfortably in your own home, with care that adapts to your needs.


Bedside table with books on it

"I just wanted to say a huge thank you for your services, and in particular the wonderful work of Svetlana and Ashleigh. They were absolutely lovely and it was a pleasure to get to know them. You’ve got two excellent team members and I was super appreciative of their support”. Thanks to you and Michelle also for handling the complications I presented with rostering - that must have been a challenge. Ngā mihi nui,"

Author SignatureWellington

Dementia Care

Living with dementia brings unique challenges, but with the right support, it’s possible to maintain comfort, dignity and a sense of independence at home.

Due to the many forms and stages of dementia conditions, it is important that we work closely with our clients, their families, GPs, and cognitive services to ensure care is responsive to individual needs.

Our experienced teams can assist with day-to-day tasks, manage changes in cognitive function and provide reassurance through routines that feel familiar and safe.

We recognise and support your right to make decisions for as long as you are able, and the importance of continuity of care from people you know and trust.

Inside house looking at a bookshelf

Our trusted caregivers can assist with:

  • Support to ease the anxiety, confusion and frustration sometimes experienced as a result of memory loss

  • Fridge and pantry checks, disposal of items past use-by date

  • Maintaining a safe environment

  • Providing opportunities for appropriate exercise

  • Managing challenging behaviours

  • Noticing and advising of any concerns and changes

  • Assisting with daily activities and tasks

  • Fostering a ‘do with’ rather than ‘do for’ approach wherever possible

  • Personal care, dressing and grooming

"I used the services of Miranda Smith Homecare from the time my mother was first and very suddenly diagnosed with vascular dementia. At a time when I was myself in shock and unsure of what assistance was available, the office team at Miranda Smith were fantastic – they were highly professional and also extremely reassuring and supportive and helpful to me."

Author SignatureAuckland

Get in touch

Please leave your details here and one of our team will be in contact soon. Or visit our Contact Page for regional offices.

Thank you.

Call 0800 600 026

To become a caregiver please see our
Become A Caregiver page.

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