Starling Homecare, Suite 4, Stanta Business Centre, 3 Soothouse Spring, St Albans, Hertfordshire AL3 6PF. Tel: 01727 324 127
Starling Homecare

Stoma and Catheter Care at Home

A Starling Homecare carer bringing a cup of tea to a woman at her kitchen table at home

Discreet, practical support that keeps you comfortable

If you or someone in your family lives with a stoma or a urinary catheter, we can arrange regulated stoma care at home and catheter bag care across St Albans, Harpenden, Hemel Hempstead, Welwyn Hatfield, Potters Bar (including Cuffley) and Cheshunt, with live-in care available across the whole of Hertfordshire. Living with a stoma or a catheter is manageable with the right routine, and many people manage it entirely themselves. Where that has become difficult, because of age, dexterity, eyesight, memory or another condition, our carers provide the day-to-day support, once your stoma or district nurse has signed them off to do so for you.

Written by the Starling Homecare leadership team and reviewed by Rupen Faldu, Managing Director and the provider’s nominated individual. Clinical scope as stated on this page is checked against our CQC registration and insurance before publication. Last reviewed 24 October 2026; next review by April 2027. Sources are listed at the end of this page.

Why Home Matters with a Stoma or Catheter

This is personal care in the truest sense, and most people would far rather have it done at home, in their own bathroom, by a small number of familiar people, than anywhere else. Care at home keeps the routine private, consistent and on your terms, with the same carers who know your supplies, your skin and how you like things done.

Woman at home looking out to the garden, Stoma and catheter care at home with Starling Homecare

Care That Starts With the Nurse’s Plan

Stoma and catheter care at home always begins with the clinical team. Your stoma nurse or district nurse sets the routine, the products and the technique, and they sign our carers off to carry out the agreed tasks for you specifically. That sign-off is recorded in your care plan, along with the supplies you use, how often bags are changed or emptied, how your skin is checked and what to do if something does not look right. Carers then follow that plan on every visit, in the same way, every time.

What We Do, and What Stays With the Nurses

We are clear about this because it matters for your safety. Our carers empty and change stoma bags, empty and change catheter drainage bags, keep the skin around a stoma or catheter site clean and checked, help you keep track of supplies, and support your comfort, hygiene and dignity. We do not insert or change catheters, we do not carry out any procedure that involves insertion, and we do not provide nursing care. Those tasks stay with your district nursing team, and we work alongside them, with your consent, so that anything we notice reaches them quickly.

Smiling carer in conversation with elderly woman Starling Homecare visit
Elderly woman walking arm-in-arm with a Starling Homecare carer outside a home.

Stoma and Catheter Care May Include:

  • Emptying and changing stoma bags, following the routine set by your stoma nurse
  • Emptying and changing catheter drainage bags, including night bags
  • Keeping the skin around the stoma or catheter site clean, dry and checked
  • Helping you order, organise and store your supplies
  • Personal care, washing and dressing, done with privacy and dignity
  • Encouraging fluids and a diet in line with your clinical advice
  • Noticing and reporting changes such as soreness, leaks, blockages or signs of infection
  • Longer visits, overnight support or full live-in care where needs are greater

Support That Fits the Level of Need

When help is occasional

A visit for the tasks that have become awkward, such as a bag change or a skin check, with everything else left to you.

When help is regular

Daily visits built around your routine, with the same small team who know your products and your plan and who notice when something has changed.

When needs are greater

Longer visits, overnight support or full live-in care, planned with your family and, with your consent, alongside the district nursing and stoma care teams.

Working alongside the NHS

Catheter insertion and changes, stoma reviews, prescribing of supplies and any clinical decision sit with your GP, stoma nurse and district nursing team. We do not employ nurses. Our role is the everyday care at home that keeps you comfortable and keeps the routine going between their visits. Stoma and catheter care often sits alongside our cancer care, post-hospital care and physical disability care, and those pages explain the wider support.

If you are arranging care on someone else’s behalf as a case manager, deputy or solicitor, our page for case managers, deputies and solicitors covers our registration, reporting and referral route.

Smiling Starling Homecare carer talking with an elderly man, showing compassionate home care for older adults.

Arranging Stoma and Catheter Care at Home: Your Questions

How much does stoma and catheter care at home cost?

Care visits start from 30 minutes, from £34, with no hidden fees, and every family receives a written quote before anything begins. Regulated home care is VAT exempt.

Can carers change my stoma bag?

Yes, once your stoma nurse or district nurse has signed our carers off to do so for you and the routine is recorded in your care plan. Carers follow the technique and products the nurse has set.

Can carers change or insert a catheter?

No. Catheter insertion and catheter changes are clinical procedures that stay with your district nursing team. Carers empty and change the drainage bags, keep the site clean and checked, and tell the nurses promptly if there is a problem such as a blockage or signs of infection.

What does the nurse sign-off involve?

Your stoma nurse or district nurse confirms the tasks our carers may carry out for you, shows them your specific routine, and records it with us. It is specific to you, not general, and if your routine changes the nurse updates it. This is standard practice for safe delegation of care at home.

Will the same carers do this every time?

Yes, as far as we can arrange it. This is intimate care and people rightly want a small number of familiar faces. We keep the team small and consistent, and every carer in it has been signed off for your routine.

What happens if there is a leak, soreness or a blockage?

Carers deal with the immediate comfort and hygiene, then follow your plan, which normally means contacting the district nurses or stoma nurse and, where needed, the GP or out-of-hours service. They also tell your family where you have asked us to.

How quickly can stoma or catheter care start?

Care can often be in place within a couple of working days, depending on availability and on the nursing team being able to sign carers off for your routine. We will give you a realistic timescale when you contact us.

Do we have to commit long term?

No. There are no long-term or fixed-term contracts, and every package carries our 90-day risk-free guarantee: you can cancel at any time.

Stoma and Catheter Support in Hertfordshire

Who provides the stoma nurse and district nurse service in Hertfordshire?

Stoma nurses are usually based at the hospital where the stoma was formed, and district nursing is provided by the community NHS service for your area through your GP practice. If you are not sure who your team is, we will help you find out and make contact.

Do you cover the whole of Hertfordshire for stoma and catheter care?

In practice, we arrange visiting care at home in St Albans, Harpenden, Hemel Hempstead, Welwyn Hatfield, Potters Bar (including Cuffley) and Cheshunt, and the villages around them. In addition, live-in care is available across the whole of Hertfordshire.

How are supplies ordered?

Stoma and catheter supplies are prescribed by your GP and usually delivered by a home delivery service. Carers can help you keep track of what you have, place orders in good time and store supplies properly, so you are never caught short.

Can you support someone with a stoma or catheter and dementia?

Yes. Memory loss can make a stoma or catheter routine very hard to manage alone, and distress about it is common. Carers provide the routine, the reassurance and the consistency, in line with our dementia care approach.

Living With a Stoma or Catheter at Home

Can someone with a stoma or catheter live alone with care at home?

Very often, yes. With visits timed around the routine, supplies kept in order, a clear plan for problems and a nursing team in the background, many people manage comfortably at home.

How is stoma and catheter care at home funded?

Many families fund care privately. Council support may be available following a care needs assessment and a financial assessment from Hertfordshire County Council, and Direct Payments can be used to pay for care where someone is eligible. Where there is a primary health need, NHS Continuing Healthcare may apply. Our care funding guide sets out the options.

Is this care provided with privacy and dignity?

Always. Carers explain what they are doing, keep you covered and comfortable, work in your own bathroom or bedroom with the door closed, and never rush. If you have a preference about the sex of your carer, tell us and we will do our best to meet it.

What will the carer know before the first visit?

We write the care plan with you and your nurse before care starts. It records the tasks the nurse has signed off, the products and routine, how your skin is checked, the supplies you use and what to do if something goes wrong. The carers who visit work from that plan.

How to Get Started

  1. Think about what type of help would make life easier
  2. Check if you or your loved one might be eligible for support
  3. Speak with us. We can guide you through options and next steps

Arranging Stoma and Catheter Care Is Simple

Starting care can feel like a big step. We keep it calm and straightforward, and we are here from your very first call to help you explore what might feel right, whether that is with us or simply pointing you in the right direction.

1. Talk to us

Get in touch by phone or request a callback. We will listen, answer your questions and help you understand the options, so you can decide in your own time.

2. A home visit and initial consultation

We arrange a visit to understand your routines, your home and what matters most to you. Together we agree an initial consultation and shape the support that feels right.

3. Your care begins

A small, familiar team starts your care, arriving at the agreed times and staying involved as your needs change. We remain your trusted adviser throughout.

Whenever you are ready, we are here to help.

Consent
Starling Homecare

A stoma or a catheter should not stand between you and a comfortable, private life at home. The right support, from familiar people following your nurse’s plan, keeps it that way. If you are exploring stoma or catheter care, we are here to talk it through. Call us or complete our enquiry form. We would be glad to help.

Information on this page was checked on 24 October 2026. For the latest information and support on living with a stoma, Colostomy UK is a good place to start.