In today’s evolving health and social care landscape, services are under increasing pressure to deliver care that is not only person-centred but also efficient, safe, and sustainable. One approach that has grown in relevance is single-handed care—a model of support where just one care worker assists a service user, instead of the traditional two-person team. But what does this mean in practice, and how do we ensure it’s done safely?

What Is Single-Handed Care?

Single-handed care refers to care that is delivered safely and effectively by one trained professional, often supported by appropriate equipment or assistive technology. It is not about cutting corners or reducing quality—it’s about delivering the right level of care in the right way.

It often applies to tasks like moving and handling, personal care, or mobility support. Where risk assessments and professional judgement determine it is safe to do so, single-handed care can offer a more dignified and empowering experience for the individual receiving support.

When Is It Safe to Deliver Single-Handed Care?

Single-handed care must always be risk assessed on an individual basis. Key considerations include:

• The person’s care needs, mobility and preferences
• Use of safe and appropriate moving and handling equipment
• Staff training and confidence in delivering support independently
• The care environment (e.g. space, layout, safety)
• Input from occupational therapists or other specialists
• Clear documentation and care planning

Safety is the priority. If a task poses risk of harm to either the care worker or the service user, single-handed care should not be implemented.

The Link to Proportionate Care

At TJS Solutions, we believe that single-handed care is part of a wider shift towards proportionate care—providing care that is balanced, personalised, and appropriate to the needs of the individual.

Our Proportionate Care training helps teams explore the ethics and decision-making behind support delivery, including when single-handed care is suitable. We provide tools to help care workers and managers feel confident in balancing safety, autonomy, and professional responsibility.

Benefits of Safe Single-Handed Care

When done properly, single-handed care has several advantages:

• Greater independence and dignity for the individual
• Reduced intrusion and improved continuity of care
• More flexible use of staffing and resources
• Improved confidence in staff decision-making

Enhanced outcomes when supported by proportionate assessments

It’s not about reducing staff numbers—it’s about working smarter, with the right support, equipment, and training.

Why Training Matters

• To implement single-handed care safely, your team must be trained to:
• Assess and understand individual needs
• Use equipment such as hoists, slide sheets, and rotundas correctly
• Identify risks and respond appropriately
• Maintain clear records and justification for decisions

At TJS Solutions, we work in partnership with care providers to deliver tailored training around proportionate and single-handed care. Our sessions are practical, scenario-based, and grounded in real-world care delivery.

Ready to explore how single-handed care can work safely in your organisation?

Book a free training consultation with TJS Solutions today and empower your team with the skills and confidence they need.