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Alcohol & Medication

As a live-in carer, you live and work in someone’s home. You are often the only person there. That means you must be fit, alert, and able to respond at all times — including overnight.

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Written by Finn Tacon
Updated over 3 weeks ago

Why This Matters

Even small amounts of alcohol or medication that makes you drowsy can:

  • Affect medication administration

  • Slow your response in an emergency

  • Increase falls risk during manual handling

  • Impact your judgement

  • Undermine professional boundaries

The Rules

While on a live-in placement:

  • ❌ Do not drink alcohol.

  • ❌ Do not arrive smelling of alcohol.

  • ❌ Do not use illegal drugs.

  • ❌ Do not misuse prescription medication.

  • ❌ Do not store alcohol in the client’s home.

  • ✔ Tell us if prescribed medication may make you drowsy.


What to Do If…

🔹 A client offers you a glass of wine

Politely decline and say:

“Thank you, but I’m not allowed to drink while I’m working.”

If they insist, inform your care manager.


🔹 You’ve been prescribed medication that makes you sleepy

Before your placement:

  • Contact your care manager.

  • We will complete a risk assessment.

  • We may adjust duties or placement temporarily.

Do not wait until you feel unwell on shift.


🔹 You feel unwell or not fit for duty

Contact the on-call team immediately.
Do not attempt to “push through” a shift.

Your safety and the client’s safety come first.


🔹 You suspect another carer is under the influence

  • Contact your manager or on-call lead.

  • Do not confront them directly.

  • Your concern will be handled sensitively.


🔹 You are struggling with alcohol or substance use

Please tell us before it affects your work.

We can:

  • Arrange confidential support

  • Refer to your GP

  • Temporarily pause placements

  • Support a safe return to work

Asking for help early will always be treated more positively than hiding a problem.


Remember

In live-in care:

You are the emergency response.
You are the medication administrator.
You are the safeguarding presence.
You are a guest in someone’s home.

Staying fit for duty protects:

  • Your client

  • Your professional reputation

  • Your registration and future career

  • Your colleagues

If in doubt — contact the on-call team.

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