❛Even if they are not in regular contact with many of those receiving home care, community nurses can help support the knowledge needs of home care workers.❜ At last, the National Institute for Health and Care Excellence (NICE) with the support of the Social Care Institute for Excellence (SCIE) has published guidance (NICE, 2015) setting out the principles for high-quality home care together with the essential elements of acceptable home-care delivery, including the use of telecare. The guidance also recommends close joint working between health-care staff and those delivering home care, with particular reference to medications and other aspects of health support, so that home care workers are able to provide the necessary high-quality, person-centred support to maximise the health and wellbeing of their clients. The growing need for and expansion of home-care services is inevitable as the population ages. Yet, there are major concerns about the sustainability of the current levels of recruitment and retention across the UK, in part reflecting the rising expectations of the workforce (Hussein et al, 2015). Hussein et al’s study, using a national dataset 2008–2010 and comprising 2964 employers, found that although vacancy rates had fallen slightly, the workforce was characterised by high turnover with variability across individual employers. They particularly noted that the home-care workforce had lower stability and higher vacancy rates than those working in care homes, which bodes ill for meeting the future needs of the growing population of older people living in their own homes. The NICE (2015) guidance emphasises the importance of person-centred care, which supports the preferences and aspirations of those receiving care while recognising the higher risk of unmet social care needs of people with cognitive impairments or among those living alone. The importance of respectful care with the involvement of clients and their carers in decision making is stressed, together with the agreement of mutual expectations regarding care delivery. A major challenge for care providers is continuity of care when there are multiple visits each day, but it is the basis for relational trust; moreover, for many, the face-to-face contact is crucial for their psychological wellbeing. For the first time, a minimum visit time of 30 minutes is recommended, but visits may need to be longer where the care visits comprise many activities, including supporting a client’s eating and drinking. Community nurses are also important contributors to supporting people in their homes. Even if they are not in regular contact with many of those receiving home care, community nurses can help support the knowledge needs of home-care workers with regard to medications, pain management, and skin care, in addition to the health conditions of their clients, such as heart failure; diabetes mellitus; neurological conditions; physical disabilities; and mental health problems such as anxiety, depression, cognitive impairment, and dementia. They may also help to undertake the risk assessment and contribute to the risk plan. The NICE (2015) guidance also makes clear that telecare should not replace human contact, but it may be used as an adjunct offering reassurance to the client and/or their carer between visits or other social contacts. Indeed, a recent, large longitudinal study (Teo et al, 2015), involving 11 065 people aged 50 years and over, found that the probability of depressive symptoms increase as face-to-face contacts of children, other family members, and friends decrease. They also found that telephone, written, and email contacts had no benefit in preventing depressive symptoms, and are therefore not a substitute for face-to-face contact with older people. With the Christmas–New Year period approaching, community nurses should be especially watchful of their older clients who have few or no contacts with their family members or friends. BJCN