Welcome to A & A Medicare First Limited
Delivering excellence in Home Care across East and South East London
Nurse-led, regulated care you can trust
The reassurance of professional oversight and independent regulation behind every visit.
Nurse-led
Founded and personally led by Irina Rosa Da Silveira, a former A&E nurse — so clinical insight shapes every care plan.
ICO registered
Registered with the Information Commissioner’s Office (ref ZB711460) to protect your personal information.
How we can help
Everyday support, shaped around your routines and preferences — it’s never one size fits all.
Personal care
Bathing, dressing and grooming — always with dignity.
Companionship
Friendly company, conversation and emotional support.
Pre & post surgery care
A helping hand while you prepare and recover.
Nutritional support
Meal preparation and help eating well every day.
Transport to appointments
Door-to-door support for hospital and GP visits.
Sleep-overs & shopping
Overnight reassurance and help with the weekly shop.
Light domestic duties
Cleaning, laundry and small tasks like nail cutting.
Pet feeding & walking
Keeping beloved pets fed, walked and happy.
Types of care we support
Whatever level of support you need, we’ll shape a plan around it — and adjust it as life changes.
Hourly visiting care
From 30 minutes a week to several visits a day — help with personal care, meals and the home.
Live-in care
A dedicated carer lives with you, so you get round-the-clock support without leaving home.
How care begins
A brief call
We start with a phone chat to understand your primary needs and current situation.
A home visit
We visit to learn your preferences and daily routines — early riser? Love the park? We take note.
Your care plan
We create a personalised plan for you to review and adjust until it feels right.
Meet your carer
You meet your carefully matched caregiver and the service begins — with us checking in.
Carers you can trust in your home
Every carer is chosen for their skills, experience and genuine passion for care — then checked and trained thoroughly before they ever visit you.
- Enhanced DBS checks on every carer
- Fully insured — personal and public liability
- Trained in safeguarding, moving & handling, and basic life support
- Care built on dignity, choice and trust
What families say
Real words from the people we support and their families.
The carers are kind, reliable and genuinely care about my mother. Knowing the service is nurse-led gives our whole family real peace of mind.
Sarah M.
Daughter of client, Greenwich
From the very first home visit they listened properly and built the plan around Dad’s routine. Nothing is ever too much trouble.
David R.
Son of client, South-East London
Punctual, professional and warm. The same friendly faces each week have made such a difference to my independence at home.
Margaret W.
Client, London
Book your free home visit
Choose a time that suits you and one of our team will visit to understand your needs — no obligation, no pressure. Prefer to talk first? Call 07392 632251.
Ready to talk about care?
Call us on 07392 632251 — our senior care team will listen first, then advise. No obligation.