Complex care at home

For people living with chronic illnesses and disabilities, where they have significant and ongoing healthcare requirements, finding a live-in care provider who can support their needs can mean the difference between continuing to live in their own home or having to spend long periods of time in hospitals or homes.

At ENA Care Group, we provide complex care through our experienced live-in carers, registered nurses and clinically-led team, all of whom have received extensive training to ensure they are able to meet our client’s needs. In addition to providing this expert care, we also support our clients to maintain control over their day-to-day life, to feel a sense of achievement and, ultimately, to feel fulfilled.
Complex care

What is complex care?

Complex care describes the kind of care necessary for ensuring the wellbeing of people who have many different needs, which when combined require a more complicated and delicately managed form of care. Individuals who need this kind of care usually have serious health concerns which require specialised care, and they may have multiple conditions which need to be balanced at the same time, and which may be interacting with each other. For example, a patient’s learning disabilities may make it difficult for them to manage a stoma bag which they have to have following another illness, and complex care strategies may be necessary to ensure their safety and wellbeing. Some of the care needs which can be addressed by complex care include:

  • Tracheostomy care, for anyone who has a tracheotomy tube fitted that can be managed at home.
  • Oral and tracheal suctioning, to help clear secretions from a person’s airways.
  • Oxygen therapy and ventilator support, to help a person breathe — either because they have an acute disease, like an infection, or a chronic long-term condition.
  • PEG (percutaneous endoscopic gastrostomy) care, for anyone who is unable to swallow foods, drinks or medications.
  • Stoma care, including emptying and changing of stoma bags.
If you or your relative are living with a complex care need that isn’t listed above, please do contact us to discuss your requirements. We will be happy to provide information about the care and support we can offer, or signpost you to another service if required.

Who can benefit from complex care support?

Complex care can benefit a range of individuals with various needs that require ongoing care and management. Some, though not all, of the conditions for which this kind of care is beneficial include:

Reasons to consider live-in complex care

Complex care at home is one of the most celebrated social care innovations, largely because it gives people living with life-changing conditions and long-term, invasive procedures some freedom and flexibility. Some of the reasons our clients have chosen live-in complex care include $
$ The person is ready to leave hospital but needs a professional care package to ensure their discharge is safe.
$ The person and/or their family are struggling to cope without professional support. The person and/or their family may want a long-term live-in care service, or they may prefer to try our respite care service first.
$ The person has a history of complications or infections and needs continued professional support.
$ The person doesn’t want to move into a nursing home.
$ The person wants to do more than just manage their condition. They want a holistic care package that is going to support them in maximising their life chances and opportunities.
Live-in Care

Key elements of ENA live-in complex care

We support people of all ages with many different types and severities of complex care needs, offering well-matched, highly-skilled live-in carers who are trained and supported by our registered nurses and clinically-led team. For people who require complex care, it can be a huge relief to find that they are able to receive this at home, and for family members to know that a skilled professional is on-hand to provide all of the care that is required is a huge comfort.

Our detailed care plans, made with the person and their family (if applicable), and on advice from their medical team, are constantly reviewed to ensure needs are being met and that any updated guidance is included. We consistently monitor for changes in someone’s health and work in a multidisciplinary way to ensure that the client’s care is fully managed by all professionals involved.

By working in the client’s home, we really get to know the people we support and pride ourselves on providing a highly-personalised, dignified and respectful service which fully reflects their wishes and preferences. We know that emotional and mental health support is just as vital, too, and do everything we can to enable the person to cope with the health challenges they are facing and any complex care requirements they might have.

The benefits of ENA live-in complex care


Age-appropriate support

Complex care needs can be present across the age spectrum, from younger children to older adults. Our live-in carers are highly proficient in adapting their approach to each individual, ensuring the best care and support always.

Care that isn’t rushed

One of the great advantages of live-in carers is that they are completely dedicated to the client. They have the time to support the person, manage medical procedure(s) required in a calm and focused way, and communicate appropriately at all times without time constraints and considerations.

One-to-one monitoring

Many complex care conditions have numerous potential complications. Our live-in carers are adept at monitoring for signs of infection and other issues that require swift action.

Boosting confidence

Many people in need of complex care are adjusting to a new reality, for example those getting used to having a stoma or PEG. These types of procedures, whilst often very effective in treating a person’s health condition(s), can leave the person with low self-esteem, body confidence issues and feelings of insecurity. Our live-in carers understand the unseen impact of living with these procedures, and aim to provide compassionate support at all times.

Supporting independence

Many of our clients in need of complex care can feel disempowered and dependant, prior to engaging with us. We aim to turn this on its head, by supporting them to regain their independence and achieve their goals, no matter how large or small. Our live-in carers encourage the client to be as active and fulfilled as possible, within reason, and make the person’s wellbeing the centre of everything we do.

Companionship to combat isolation

Many complex care conditions can leave people feeling lonely and isolated. The companionship of a live-in carer offers comfort in the form of a friendly and compassionate individual who can be relied upon to be non-judgemental and supportive.

Mental health support

Living with a complex care condition can adversely affect a person’s mental health, with issues like depression being quite common. Our live-in carers are trained to help with these challenges and find ways to manage them effectively.

Help for families

Whether a relative’s complex care condition is something they’ve always lived with, or is the result of a recent illness, advancement of a chronic condition or an accident, families can often feel unsure about how best to ensure their needs are met. We provide a comprehensive support system for families to make sure they feel informed and reassured, and are able to cope better.

Holistic, continuous, life-long support

We have expertise in a wide range of conditions. Should a client develop other health issues, or be living with a life-limiting or terminal illness that will require palliative/end-of-life care, we would aim to help them remain at home and avoid the disruption and distress associated with moving.