Complex Care
Specialist support for conditions like Parkinson's, MS, motor neurone disease, catheter and stoma care, PEG feeding, and end-of-life care.
Complex care is where the detail matters most. The medication list is longer. The care plan has equipment in it. The day has to be planned to the quarter-hour. The family is often already tired and often already scared.
We take these cases carefully. We match a small team of experienced carers (usually two or three) who are competency-signed for the specific tasks involved. The registered manager stays close, especially in the first weeks. We coordinate openly with district nurses, hospice teams, specialists, and the GP.
We do Parkinson’s, MS, motor neurone disease, post-stroke recovery, PEG feeding, catheter and stoma care, pressure area management, and end-of-life care at home. We say no to cases we are not the right provider for. That is part of being honest.
What’s included
- Carers competency-signed for the specific condition and equipment
- Multiple visits a day, night care, or live-in (whichever fits)
- Medication administration including controlled drugs where regulated
- PEG feeding, catheter care, stoma care, tracheostomy awareness
- Pressure area management and turns on schedule
- Symptom watching and prompt escalation to the GP or district nurse
- End-of-life care at home with family support included
- Direct liaison with hospices, specialists, and community teams
How it works
We start with a long assessment involving the client, the family, and usually the district nurse or hospice team. The care plan is written jointly. Carers are trained on the specific equipment and medication before the first visit. The registered manager personally attends the first few visits. We hold case reviews monthly, or sooner if anything changes. At the end of life, we sit with the family, and we do not disappear afterwards.
The people we tend to support with this.
Adults living with progressive neurological conditions
People needing PEG feeding, catheter, stoma, or tracheostomy support
Clients and families choosing end-of-life care at home
Talk to a human.
A real conversation, no obligation, no pressure.
Things families ask us most.
Can you support someone at the end of life at home? +
Yes. Dying at home is what most people say they want, and it is achievable with the right team. We work closely with Forest Holme Hospice, district nurses, and the GP. We cover personal care, medication, repositioning, symptom management prompts, and presence. The registered manager is involved directly throughout, and we support the family as well as the client.
Are your carers trained for PEG feeding, catheter, and stoma care? +
The carers we assign to complex-care clients complete specific competency training before the first visit, signed off by the registered manager. That includes PEG, catheter, stoma, and tracheostomy awareness. We never allocate a carer to a task they have not been competency-signed for.
How do you coordinate with the NHS and hospice teams? +
We work alongside district nurses, community palliative teams, and hospitals as a matter of routine. We share written notes (with consent), we attend multidisciplinary meetings where useful, and we have direct phone numbers for the teams we work with most. Nothing falls between the cracks.