Case Study · Home Care · AI Agent Use

Smarter rostering oversight that gave time back to care

Hales Group (National Home Care Provider) deployed an AI-enabled monitoring layer across two pilot branches to improve oversight of visit schedules and reduce operational pressure on coordinators.

Within weeks, teams reported fewer out-of-hours interruptions, improved workflow efficiency, and more time available for both coordinators and care staff to focus on service delivery. The success led to rapid board-approved expansion to two more locations.

+28%Schedule adherence
Locations
Pilot performance
Two branches · four weeks
Live
0%
Schedule adherence
0%
Fewer out-of-hours
0%
System reliability
0
Monitoring cycles
0%
improvement in schedule adherence across pilot branches
0%
reduction in out-of-hours on-call activity and interruption levels
0%
system reliability across 204 automated monitoring cycles
expansion in locations approved, from two to four
Sector
Regulated home care
Scale
National, multi-branch provider
Solution Type
Computer Use AI (operating within existing systems, no API required)
Pilot length
Four weeks
The Challenge

Strong delivery, but high operational effort

Coordinators were spending a significant proportion of their time monitoring schedules, responding reactively to issues, and handling out-of-hours calls, often at the expense of higher-value activities such as care planning, team support, and service improvement.

The organisation was managing hundreds of visits daily through manual oversight. While overall delivery remained strong, the operational effort required to maintain that standard was high, particularly during evenings and weekends when a single coordinator may be responsible for large volumes of coordination activity.

At the same time, there was a clear opportunity to strengthen reporting, audit visibility, and regulatory readiness through more consistent tracking.

This created:

High reliance on manual monitoring
Interruptions during on-call periods
Limited time for proactive care management
Increased pressure on coordination teams
The Opportunity

Augment the workflow, not replace the people

Rather than replacing human decision-making, the organisation identified an opportunity to augment existing workflows with a structured monitoring and alerting layer. The objective was simple:

Improve visibility of rostering activity in real time, reduce manual effort, and enable teams to focus their time where it has the greatest impact, supporting care delivery.

The Solution

An AI agent working inside the care management system

A targeted AI agent was deployed to operate directly within the care management system, continuously reviewing scheduled visits and providing timely prompts where attention was needed.

Continuous schedule monitoring
Regularly reviewing visit activity through the live dashboard
Early identification of variations
Highlighting where planned activity required attention
Direct carer prompts
Sending simple, real-time nudges to support timely updates
Escalation where needed
Notifying coordinators only when human input was required
Automated audit logging
Creating a consistent record of actions for compliance and reporting
How It Works

The agent handles the routine follow-up itself

Computer Use agentLive
12:31
Late visit detected
Scheduled visit not logged within the tolerance window.
The agent messages the carer
Hi, your 12:30 visit has not been logged yet. Are you on your way to the client?
Direct message to carer
Carer responds, visit back on track
No coordinator involved
Coordinator notified
Only if unresolved
Every step is written to the visit record for audit.
The agent handles the routine follow-up itself. A coordinator is only involved when a visit cannot be resolved automatically.

The approach was deliberately narrow and controlled:

  • No changes to care plans or schedules
  • No direct communication with clients or families
  • No automated decision-making
The Impact

Measurable gains in efficiency, capacity and cost

1

More efficient coordination

Coordinators moved from reactive monitoring to structured oversight, reducing manual checks and freeing time for higher-priority responsibilities.

2

Reduced out-of-hours pressure

A significant drop in on-call activity meant:

  • Fewer interruptions during evenings and weekends
  • Improved work-life balance for on-call teams
  • More focused handling of genuinely complex situations
3

More time for care delivery

With less need for reactive follow-up:

  • Coordinators had greater capacity for care planning and staff support
  • Carers spent less time dealing with avoidable administration
  • More time was ultimately directed towards service users
4

Stronger cost efficiency

The model is expected to deliver measurable operational savings, with per-check costs around 85% lower than the human equivalent.

Pilot outcomes
Across two pilot branches
Schedule adherence improvement+28%
Out-of-hours activity reduction62%
System reliability100%
Live agent activity
Branch A
Monitoring
Branch B
Prompt sent
Branch C
Resolved
On-call
Quiet
Branch D
Monitoring
Audit
Logged

Stronger cost efficiency — the model is expected to deliver measurable operational savings:

UnitAI Agent*Human EquivalentSaving
Per check£0.87£5.00 to £6.67£4.13 to £5.80
Per day£35.67£205 to £273£170 to £237
Per month£713£4,100 to £5,467~85% lower

* AI agent cost varies with usage volume and task complexity.

Human equivalent figures are estimates based on average operational rates, shown for comparison only.

The Behavioural Shift

From chasing to collaborative working

One of the most valuable outcomes was a positive change in team behaviour.

With clearer visibility and structured prompts:

  • Care staff became more proactive in communication
  • Teams naturally stayed ahead of scheduling adjustments
  • Coordination shifted from "chasing" to collaborative working

This reduced friction across the system and improved overall team confidence.

We've been really impressed by the impact, not just on efficiency, but on how much smoother the operation feels. The reduction in out-of-hours calls alone has made a noticeable difference for the team.

MB
Mason BarendrechtDirector of IT, AI & Systems
The Journey

From concept to scaling decision in nine weeks

Delivered from concept to scaling decision in approximately nine weeks:

01
Reset
Learnings from a previous pilot informed a new operational focus
02
Scoping
Detailed mapping of day-to-day scheduling workflows
03
Go live
Four-week pilot, live across two locations
04
Results
Immediate improvement in efficiency and workload
05
Scale
Board approval to expand following the pilot

On the strength of the pilot, the deployment is now extending to two more locations.

Takeaways

Why it worked

Focused scope

The solution was deliberately constrained to monitoring and support, allowing rapid deployment in a regulated setting.

Human-centred design

Responsibility remained with people. Technology simply made the right information visible at the right time.

Real operational value

Rather than adding tasks, the system:

  • Reduced manual workload
  • Improved consistency
  • Enabled better use of skilled staff time
Conclusion

What this demonstrates

  • AI can enhance operational efficiency without disrupting care delivery
  • Even small workflow improvements can unlock time and cost benefits
  • The biggest value often comes from freeing people to focus on what matters most, delivering care

This wasn't about monitoring more. It was about enabling teams to spend less time managing the system, and more time delivering care and adding value.

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