Bangalore · Special needs child care at home
Down syndrome care at home. Built around what your child can already do.
Patient daily-living support that builds the child’s independence. We place caregivers who wait while your child does up her own buttons, carry the speech therapist’s practice into the rest of the week, and keep a written eye on the heart, thyroid, hearing and sleep follow-ups these children usually need.
Reviewed by Sister Mary George, B.Sc Nursing, Care DirectorLast updated August 2026
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Understand the condition
Down syndrome: what families should know.
- 1 in 1,000 to 1,100
The World Health Organization puts the global incidence of Down syndrome at roughly one in 1,000 to one in 1,100 live births.
- Nothing you did caused this
Trisomy 21 happens at conception, in the way a pair of chromosomes separates. No diet, medicine, illness, work or worry during the pregnancy caused it, and parents ask us this more often than they ask about anything else.
- The skills do come
Most children with Down syndrome learn to dress, eat, wash and use the toilet on their own. It takes longer, and it needs the same method repeated by every adult in the house.
This information is for general awareness, not medical advice. Always consult a qualified doctor for diagnosis and treatment. EzyHelpers arranges trained caregivers and nursing support, we work alongside your doctor’s plan, never in place of it.
What we cover
Care needs & conditions covered.
Conditions covered
- Trisomy 21
- Translocation Down syndrome
- Mosaic Down syndrome
- Down syndrome after heart surgery
- Down syndrome with hearing or vision difficulty
- Down syndrome with speech delay
Care needs we support
- Prompting through dressing, washing, brushing and toileting rather than doing it for the child
- Self-feeding practice at meals, with the seating and posture set up properly
- Speech and sign practice carried over between therapy sessions
- Physiotherapy and occupational therapy exercises done exactly as the therapist wrote them
- Watching breathing, sleep, bowels, energy and hearing, and reporting what was seen to the parents
- School drop-off, pick-up and homework in short blocks
- Play with other children, and household jobs the child takes part in
- Personal care with privacy kept in mind, and same-gender care as the child grows
The main risk
The fastest way to hold your child back is to help.
Most children with Down syndrome learn to dress, eat, brush and wash themselves. What decides whether that happens at six or at sixteen is how many adults do it for them to save twenty minutes. A caregiver who dresses your son every morning because it is quicker will cost him years, and none of it will look like harm while it is happening.
- At a meal or a dressing, the caregiver’s job is to wait, to prompt, and to hand over the part the child can already manage
- Skills taught backwards, with the caregiver doing the first steps and the child finishing the last one, then the last two
- Hands stay off unless the child is stuck. A prompt is a word first, then a gesture, then a touch on the elbow.
- Self-feeding practised with a loaded spoon, a bowl that does not slide and food the child can actually pick up
- Brushing, hand washing and the toilet routine done in the same order every single day, by everyone
- Tidying up treated as a skill in its own right. Toys into the box, plate to the sink, shoes on the rack, prompted and not done for him.
Speech practice
The therapist gets an hour. The house gets the rest.
Speech in Down syndrome usually arrives well behind understanding, which is why a child who cannot answer you has often understood every word. The weekly session sets the targets. The words get built in the hundred and sixty-seven hours after it, and only if somebody at home is doing the practice on the days nobody is watching.
- Whatever system the speech therapist has set is the one that gets used, whether that is sounds, single words, picture cards or an app
- Signs used alongside speech where the therapist has introduced them, because a child who can sign asks for things instead of melting down
- The sign and the spoken word given together, never the sign alone, so speech keeps being modelled
- Short practice folded into real moments, at meals, in the bath, on the walk to the park, rather than one long drill after school
- The caregiver waits for the child to ask, instead of handing over the cup the moment the child looks at it
- The caregiver does not set speech targets or invent a programme. That work belongs to the speech therapist.
Low muscle tone
Everything physical costs your child more.
Low tone is the practical reason the milestones came late, the walk home ends in a carry and posture slides at the dinner table. It does not go away with effort, and it does improve with use, which is the argument for walking the last two hundred metres rather than picking her up.
- Stairs get supervision and a hand on the rail rather than a lift, for as long as the child can manage them
- Outings planned with a rest in them, because the child tires sooner than other children and then refuses everything
- A chair at the right height at meals with the feet flat on the floor or a footrest, so the child is not fighting to stay upright while learning to use a spoon
- Physiotherapy and occupational therapy exercises carried over exactly as written, with nothing added
- Loose joints mean no swinging a child by the arms and no rough play that twists the neck
- Ordinary movement through the day, walking to the shop, climbing at the park, swimming, counts for more than an exercise block at six in the evening
Health follow-ups
The caregiver watches and reports. She does not interpret.
Children with Down syndrome are screened for a set of conditions more often than other children are. A caregiver spends more waking hours with your child than any doctor ever will, which makes her a useful observer and a poor diagnostician. The instruction she is given is short. Write down what you saw, tell the parents the same day, do not decide what it means.
- Congenital heart conditions are common and often repaired in infancy. Breathlessness during feeds or play, unusual tiredness, sweating, or a colour change around the lips gets reported.
- Thyroid function is checked periodically by the paediatrician. Weight change, constipation, dry skin, cold hands and a drop in energy get written down rather than explained away.
- Hearing feeds speech. No response when called from behind, the television going up, ear pulling or discharge, all noted with the date.
- Vision changes quietly. Sitting close to the screen, squinting, head tilting and eye rubbing get reported to you.
- Obstructive sleep apnoea is common in these children. Loud snoring, pauses in breathing, restless sleep, mouth breathing, sleeping half upright, or a child who is exhausted all day, all recorded.
- Bowels and appetite tracked in writing, because the paediatrician asks and nobody ever remembers
Play and other children
Over-supervised and under-socialised.
Children with Down syndrome tend to spend their childhood surrounded by adults. Someone is always nearby, always helping, and the child rarely gets an unmanaged hour with other children. That is how a sociable, affectionate child reaches ten with no friends of his own.
- Time with other children in the building, at the park and at birthdays, with the caregiver standing back instead of hovering
- The caregiver steps in when the child is stuck or unsafe, and stays out of ordinary squabbles
- Play the child chooses, including the same game for the fourth time, because repetition is how she gets good at it
- Turn taking, waiting and sharing practised inside real games rather than explained at the table
- Siblings left to be siblings. The caregiver is not there to referee every exchange or to make the older brother be nice.
- Screen time held to the limit you have set, because a tablet is the easiest way for any adult to buy a quiet afternoon
School and homework
Whatever the school has agreed, the house holds up its end.
Children with Down syndrome in Bangalore are in mainstream schools with support, in special schools, or in some arrangement between the two. The caregiver’s work is the same in all three. Get the child there ready, and keep the home side of whatever the school has set going.
- School drop-off and pick-up, and staying through the day where the school asks for an attendant and allows one
- Homework in short blocks with breaks, at a table with the chair at the right height
- Daily reading practice where the school has set it, because many children with Down syndrome read well and reading feeds speech
- A notebook that travels between the class teacher, the special educator and you, so nobody is relying on memory
- The caregiver does not teach the curriculum, set learning goals or stand in for a special educator
- We serve Bangalore city limits, the 560xxx postcodes. Bangalore Rural, including Anekal and the 562xxx areas, is not covered.
Growing up
Privacy is a skill somebody has to teach.
A child who has been washed, changed and dressed by adults for ten years has had very little chance to learn that bodies are private. At twelve that becomes a real problem, and by then it is late. It gets taught deliberately, early, and by every adult in the house.
- Bathroom and bedroom doors closed, knocking before entering, clothes changed in the child’s own room
- A same-gender caregiver, which most families ask for by the early teens and which we would suggest anyway
- Menstrual care for teenage girls handled matter-of-factly by a female caregiver, with as much of it done by the girl herself as she can manage
- Body parts named plainly, and the difference between people who may help with washing and people who may not, taught in the words your family uses
- The caregiver speaks to your child at their real age and never in a baby voice, whatever their speech sounds like
- Independence goals revisited every year, because at fifteen what matters is money, travel, cooking and telling the time, and buttons are long settled
What we need from you
One list, agreed by the whole house.
Families underestimate this part. If the caregiver is standing back while your son works out his own shoes and his grandmother is putting them on for him because watching him struggle upsets her, the caregiver loses. Every time. The list below is the difference between a placement that works and one that quietly does not.
- A written list of what the child does alone, what he does with prompting, and what an adult still does for him
- Agreement on that list from everyone, including grandparents, older siblings and the relatives who visit at weekends
- The plans in writing from the speech therapist, physiotherapist, occupational therapist and special educator
- The medical follow-up calendar, cardiology, thyroid bloods, hearing, vision and dentist, and a decision on who books them
- A decision on who gives medication, because the caregiver will not, and somebody has to
- Patience with slower mornings for the first month, which is what the child doing it himself actually costs
Rate
What it costs, before you ask.
Day shifts cost less and are quoted after a consultation, once we know the hours, how much of the day is school and travel, whether the therapy and speech practice falls inside the shift, and how much personal care your child still needs.
Honest expectations
What the caregiver does, and doesn’t.
Clear scope from day one keeps the placement happy on both sides. Here’s exactly what to expect.
Included in care
- Personal care, bathing, grooming, dressing, toilet assistance
- Oral feeding and meal-time support
- Oral medication reminders, on schedule
- Safe walking, transfers and mobility support
- Companionship, conversation and daily engagement
- Light tidying of the care recipient’s room and washroom
- Washing the care recipient’s clothes (machine wash)
- Preparing simple meals for the care recipient
Not included (we arrange specialists instead)
- Injections, IV lines, Ryle’s tube or any clinical procedure (we arrange qualified nurses for these)
- Cooking or housework for the whole family
- Washing the family’s clothes or cleaning the full house
- Heavy massage or physiotherapy (we arrange certified physiotherapists)
- Administering medication beyond reminders without nurse oversight
- Driving or errands outside the agreed care plan
Simple to start
How to book care at home.
- Step 1
Tell us what you need
Call +91-7619629005 or send the form, share the condition, daily routine and your locality.
- Step 2
Get matched within hours
We shortlist verified caregivers suited to the condition, language and shift you need.
- Step 3
Care starts at home
The caregiver is briefed and begins, with quick replacement support if the fit isn’t right.
Where the line sits for a child with Down syndrome
EzyHelpers places non-clinical caregivers. The caregiver does not give medication of any kind, including thyroid tablets, heart medication, syrups, inhalers and injections. She does not suction, tube-feed or carry out any clinical procedure. She does not perform therapy. She repeats the speech, physiotherapy and occupational therapy practice your therapists have written down, without adding to it or changing it. She does not teach the school curriculum, set learning goals or stand in for a special educator. She does not diagnose, assess or interpret anything she observes. A caregiver who decides for herself that snoring is nothing is more dangerous than one who reports everything and lets a doctor decide.
What she does is the daily work around your paediatrician, cardiologist, therapists and school. Prompting rather than doing, self-feeding and dressing practice, speech and sign practice between sessions, exercises as written, personal care with privacy respected, school and appointment travel, play with other children, and a written record of breathing, sleep, bowels, appetite, energy and hearing that you can hand to a doctor. If your child needs medication administered at home, or any nursing task, tell us at the consultation and we will arrange a nurse alongside the caregiver or in place of one.
Related help
If you are still working out what your child needs.
Down syndrome care sits inside our wider special needs child care in Bangalore service. Where low tone, late walking or posture is the immediate worry, start with paediatric physiotherapy, because the caregiver at home carries over what the therapist writes and nothing beyond it. Families weighing up a second diagnosis alongside Down syndrome usually also read our pages on autism care at home, cerebral palsy child care and ADHD support at home. To see how these caregivers are recruited, briefed and replaced before you enquire, read the special needs caregiver page.
Frequently asked
Down syndrome care, answered.
Tell us what your child does alone today.
We will start from there.
A consultation covers the morning routine, the therapy plans already in place, the medical follow-ups and what the whole house needs to agree on before a caregiver starts. If the honest answer is that you need a special educator or a nurse rather than a caregiver, we will say so.