Complex Care at Home

We provide nurse-led, specialist home care for adults with complex health needs. Our aim is simple: safe, consistent care that helps people live well at home, with dignity, routine, and the right clinical support.

Support we provide

We deliver complex care packages tailored to the individual in their own home or in supported living environment, including:

Respiratory and airway support

• Tracheostomy care (routine care and monitoring)
• Airway suctioning (oral and tracheal)
• Oxygen therapy support
• Nebuliser therapy support
• Non-invasive ventilation support (e.g., BiPAP/CPAP)
• Chest physiotherapy support as directed by clinicians
• Cough assist support where prescribed and trained

Enteral feeding and nutrition

• PEG care and feeding support
• Medication support

Neurological and long-term conditions

• Care for clients living with neurological conditions (including MND, MS, stroke, acquired brain injury)
• Mobility support, safe transfers, positioning, and pressure area care
• Catheter and continence support
• Epilepsy support

Clinical tasks are only provided where training, competency sign-off, and a clear care plan are in place.

Safe, competent, consistent care

We know complex care is not just "tasks". It's about noticing small changes early and responding properly.

Our approach includes:

• Individualised care plans: Built with the person, family, and relevant clinicians (e.g., community nursing, SALT, respiratory teams).
• Trained and assessed staff: Carers are trained for the specific interventions required, with competency assessment and refreshers.
• Clear escalation pathways: We follow agreed escalation guidance for changes in breathing, secretions, feeding tolerance, temperature, skin integrity, and overall wellbeing.
• Documentation and communication: Accurate daily records, observations as required, and regular updates to families and professionals.
• Flexible cover: We can support short visits, extended shifts, waking nights, and live-in care depending on need and risk.

Who complex care is for

Our complex care service is suitable for people who need specialist support at home due to long-term conditions, disability, neurological conditions, respiratory needs, or recovery after hospital discharge.

How we start

• Assessment and planning: We review the care plan, risk, routines, and clinical tasks.
• Meet the team: We match staff based on skills and consistency.
• Training and sign-off: We confirm training/competency requirements before care starts.
• Care begins with ongoing review: We monitor quality, adjust plans, and keep communication clear.

Talk to us about complex care

If you're arranging care for yourself, a family member, or a client, we can discuss needs and confirm whether we can safely support the package.

Our Commitment

We are committed to care that:

• Promotes dignity and choice in every decision.
• Delivers measurable outcomes through personalised goals.
• Creates safe, inclusive environments for long-term stability.

Our staff receive ongoing training in positive behaviour support, autism awareness, safeguarding, and complex health needs to maintain the highest standards of care.

Referrals and Assessments

We accept self-referrals as well as referrals from local authorities, ICBs, and NHS partners. Contact us today for a free, no-obligation assessment to explore how we can support you or your loved one.