Frequently Asked Questions
Who is the Hospital to Home program suitable for?
Our transitional care program is designed for people who have recently been discharged from hospital and need additional clinical support, recovery time, or a safe environment before returning home, or transitioning to long-term care. We support people with a range of conditions including post-surgical recovery, stroke, falls, chronic disease management, and dementia-related presentations.
What services are provided?
Transition care provides people with a package of services that includes specialised restorative care therapy services such as physiotherapy and occupational therapy, as well as nursing support and personal care.
Our services focus on supporting physical, cognitive, and psycho-social wellbeing, helping people stay independent, connected, and confident in everyday life. We also work closely with families and carers to provide guidance and support when planning for future care needs.
How quickly can a placement be arranged after hospital discharge?
We respond to all referrals within two hours and aim to have placement confirmed and room ready as quickly as the clinical handover allows. Our team is experienced in working with hospital discharge coordinators to make transitions as smooth and timely as possible.
What level of clinical support is available?
Our homes are supported by 24/7 RN-led clinical care, with access to allied health professionals including physiotherapy, occupational therapy, speech pathology, dietetics, and social work. We manage wound care, medication management, mobility support, and complex care needs within a residential rather than clinical setting.
How long can someone stay in transitional care?
Length of stay depends on individual recovery goals and clinical need. We provide short-term and medium-term transitional accommodation and work with families, hospitals, and care teams to establish a clear discharge plan from the outset. Our goal is always to support the safest possible outcome – whether that’s a return home or a transition to longer-term care. Stays typically last up to 12 weeks, with a possible 6-week extension if medically needed.
What happens at the end of the transitional stay?
We coordinate discharge carefully, with documentation, communication to the GP and hospital team, and a family briefing. If further supports are needed at home, we help connect families with appropriate services. If ongoing residential care is required, we support that transition too. Our goal is that no one leaves Tea-cup Cottage without a clear, supported pathway forward.
Can families visit?
Yes, families are very welcome to visit or take their loved one out for the day. Visiting hours are generally between 7 am and 10 pm.
How is the Transitional Care funded?
Care during the approved period is funded by Queensland Health.

