St Michael’s House, Cara, is a Palliative care unit for people with an Intellectual Disability. Cara has ten beds, and first opened its doors in 2002.  The Unit was intentionally designed to support people with dementia, but through time, now also cares for people with life limiting illnesses. The ethos of Cara is to support and individuals and their families through their illness. Our aim is to provide comfort and dignity, in a homely and peaceful environment.


Staff at Cara support service users and families to maintain a quality lifestyle, while adjusting to the difficulties associated with the progression of Alzheimer’s Disease. Trying to make Cara as homely as possible, each service user has their own bedroom with en-suite facilities. Cara provides a home away from home with professional care, plenty of interaction and a multi-sensory courtyard garden.


Cara allows adults with intellectual disabilities to live in a supported caring safe environment. At every opportunity families are encouraged to continue to participate in the lives of their loved ones and are kept up to date about their ongoing care. Nursing care is provided day and night but life in Cara also involves weekly:- live music, hairdresser, reflexology and a memory clinic.

While caring for the residents, throughout what is an ever progressing and debilitating illness, the Cara team are nothing short of amazing. No matter what the challenges, all the residents’ unique requirements and situations, are addressed and met. These extra efforts and gestures by the staff ensure the most dignified and loving conditions for the residents.

Acute Care Settings, like Hospitals and Emergency Departments are not ideally suited for end of life care and particularly for those with an Intellectual Disability. The Cara team provides compassionate, professional palliative care ensuring that those in their service live well and die well with dignity.