Complex Care (Nurse-Led, Specialist Support at Home)
Complex care is specialist, person-centred support for people with long-term or clinically intensive needs who want to live safely at home. It goes beyond standard domiciliary care, combining everyday help with clinical tasks delivered by trained, competency-signed-off staff under Registered Nurse oversight—so you keep your independence with the right safeguards in place.
Who it’s for: neurological conditions (MS, MND, Parkinson’s, stroke/ABI), spinal injuries, advanced dementia, complex mobility or respiratory needs (including CPAP/BiPAP), enteral nutrition (PEG/PEJ/NG), diabetes requiring insulin management, seizure plans, wound/pressure care, and palliative/end-of-life support.
How we help:
- Bespoke clinical care plans written by RNs with MDT input (GP, community nurses, therapists).
- Specialist interventions as prescribed: PEG/enteral feeding and flushes, tracheostomy/suction readiness, ventilation support, catheter/stoma care, insulin administration, complex wound/pressure management.
- Daily living & rehab: personal care, safe moving & handling (including 2:1), positioning, therapy-informed exercises, nutrition and hydration support.
- Flexible delivery: visiting, extended shifts, or live-in packages with on-call clinical support and rapid escalation pathways.
Safety & transparency: CQC-regulated service; enhanced-DBS staff trained and competency-signed off for each task; digital MARs, exception alerts, audit trails, and clear escalation to community teams/GP/999; continuous learning through incident review.
Next step: We’ll complete an RN assessment, map the competencies required, match a trained team, and start safely—keeping you comfortable, dignified, and in control at home.
Complex Care – FAQs
Clinical care at home is safest when everyone knows who does what, when, and how. These FAQs cover who delivers specialist tasks, how our nurse-led governance works, how we coordinate with NHS teams, and what happens if needs change quickly.
Who actually delivers the clinical tasks at home?
Competency-signed-off carers trained for your specific equipment and procedures, under Registered Nurse oversight.
Can you work alongside NHS/community teams?
Yes. We coordinate with district nurses, GPs and therapists, and align with CHC or Direct Payments where applicable.
What if my needs change suddenly?
We have clear escalation pathways and nurse-led reviews. We can adjust hours, staffing ratios (including 2:1), and competencies quickly.
