EXPERT ADULT COMPLEX CARE AT HOME, LIFE FOR ALL OF

At Prestige Nursing & Care we have been providing adult complex care to people in their own homes for over 75 years.

We have been trusted by our clients, their families, commissioning groups and case managers to provide skilled and compassionate adult nursing care that is focused on improving health and overall well-being – and all the in the place people love most, their own home.

Our established complex care service supports adults who are living with a chronic health issue such as a neurological condition or have been impacted by a life-changing accident which requires physical and mental health support, or for those who are living with a life-limiting illness, including end-of-life care, a mental health condition or a learning disability.  The care we provide aims to facilitate independence, social interaction and emotional and mental well-being, whilst supporting people to fulfil their potential and live a purposeful and meaningful life.

We are experts in the specialist care of conditions that impact a person’s ability to live well, including neurological conditions like Parkinson’s, multiple sclerosis or motor neurone disease, physical disabilities such as muscular dystrophy and cerebral palsy, and we provide palliative care for those who are nearing the end of their life.  We provide nurse-led clinical interventions including respiratory and airway support, such as tracheostomy management, feeding support including PEG feeding and stoma and catheter care.

We work collaboratively with other healthcare professionals, multidisciplinary teams, commissioning groups and other therapy providers involved in our client’s care to ensure an integrated and holistic approach underpins the adult complex care we provide.   Family involvement and support is central to our approach to providing adult complex home care.  Our care teams ensure families receive high levels of support, as much as is needed.  We take time to understand the caring relationship between our clients and their families and our approach is respectful of this and client focused. The level of care provided is planned in partnership with everyone involved in a client’s care as we know through our experience this ensures goals are reached and outcomes are improved.

YOUR HOME IS BEST FOR A FULFILLED LIFE

For many a move into a nursing home or specialist care setting can cause much upset, worry and for some confusion. Having routines imposed on how you live, leaving your loved one, feeling isolated from family and friends or your local community are all common concerns experienced by those facing a move into a care home, specialist care setting or facing prolonged periods in a hospital.

Staying at home means that you can continue to live life your way whilst benefitting from one-to-one nurse-led care provided by a highly trained carer led by an experience registered nurse whose focus it is to improve your quality of life.

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WHAT IS NURSE-LED ADULT COMPLEX CARE?

Nurse-led care or complex care for adults, as it is sometimes referred to, is nursing care which is led and managed by an expert registered nurse who is highly experienced.  The registered nurse assigned to a client will be responsible for developing and overseeing the clinical components of the care package ensuring the carer who provides hands on care has the requisite training, support and supervision to deliver high-quality home care in a safe and effective way.  Home nursing care requires specialist expertise and knowledge to ensure that a high-quality service is provided with clinical interventions and related care that is both safe and effective, whilst positively enhancing the experience for the person receiving care.  As part of our nursing care service, we assess care needs, plan the care and support required whilst continually monitoring and evaluating outcomes, so the care provided meets changing needs.

Adult complex care includes:

  • Establishing and agreeing clinical care needs
  • Undertaking risk assessments
  • Developing a plan of care working with the client and family to set expectations
  • Providing hands-on care at home
  • Evaluating the care provided, ensuring the right care is delivered at the right time so a person’s needs are met – every time
  • Providing advice and support to the client and their family
  • Working in collaboration with other healthcare professionals involved in a person’s care

OUR APPROACH TO COMPLEX CARE FOR ADULTS

Our adult complex care service is nurse-led and carers are trained to provide care and support for complex, terminal and other medical conditions that impact how you live your life.  They are supported by an expert, dedicated registered nurse who provides unrivalled supervision and support of the clinical care we provide. With this leadership and oversight carers can perform many delegated healthcare tasks and interventions at home, including:

Respiratory and airway support
  • Oxygen delivery and suctioning
  • Cough assist working in partnership with physiotherapists
  • Tracheostomy management
  • Non-invasive Positive Pressure Ventilation (NIPPV) via masks – CPAP/BiPAP
  • Invasive ventilation via machines – Nippy
Feeding and supplementary support
  • NGT/PEG/gastrostomy management
  • Continuous/intermittent pump feeding
Elimination and toileting
  • Catheter care
  • Stoma care
Mobility
  • Skin integrity and pressure area care
  • Assistance with mobility aides to encourage safe moving and handling
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SUPPORTING PSYCHOLOGICAL AND BEHAVIOURAL CHALLENGES

At Prestige we know that adults living with long-term complex needs can also be living with challenges relating to their mental health and emotional well-being, which impacts how they think, feel and behave.   Poor mental health can affect a person’s day-to-day functioning, relationships, physical health and their ability to enjoy life.

Our sensitive carers supported by our registered nurses, are trained to promote good mental health and take the time to build positive relationships with those they care for.  They will gently encourage positive and healthy behaviours and are able to recognise symptoms relating to mental illness early.  This means we can respond appropriately to ensure an adult with complex care needs living with these challenges can get the specialist treatment they need, as and when they need it.   The approach we take is as individual as the person we care for, with care highly personalised to you can live a positive and fulfilled life, whilst ensuring any medications are managed effectively.

COMPETENT AND COMPASSIONATE CARERS

When you choose Prestige Nursing & Care you can be reassured that the carer who cares for you or your loved one is experienced and expertly trained to provide the support you need, to the high standards you should expect.

If you are receiving complex care at home, the carers we choose to support your needs will have at least six months care or health sector experience before they come to care for you. In addition to completing our induction training programme, which goes above mandatory requirements they are trained by our registered nurses, clinical experts and other healthcare professionals involved in providing care to a specific client.  This hands-on nurse training means our carers can competently undertake a range of clinical interventions. We adopt a bespoke approach to training that ensures our carers have the knowledge, skills and aptitude to deliver high-quality complex care that meets the very specific needs of our clients.  Through our unrivalled supervision and clinical oversight carers can adapt their approach and evolve the care they provide to meet changing needs.

We are very proud of our carers – each and every one of them is dedicated to providing compassionate, sensitive and dignified complex care at home that means our clients live a fulfilled and meaningful life, with independence and choice, for all of life.

GIVING CHRIS HIS LIFE BACK WITH COMPLEX CARE AT HOME

Chris has been living with muscular dystrophy for many years. …

GIVING CHRIS HIS LIFE BACK WITH COMPLEX CARE AT HOME

Chris has been living with muscular dystrophy for many years. Recently his lung collapsed and following a tracheostomy, he required 24-hour care. Chris was determined to return home from hospital and live as independently as possible.

His critical medical condition gave him bouts of anxiety that impacted how he felt, so he needed to trust his care team. He worried about the loss of personal space from 24-hour adult complex care arrangement, so it was key that Chris and his carers got on well, so they could be honest with each other about the level of care he wanted.

Prestige Nursing & Care responded quickly with a team of carers to support Chris who would best meet his needs.  So that Chris could feel reassured and he had continuity we happily employed Chris’ live-in PA of 8 years, James, as part of the team. This approach enabled Chris to have control over his care team which was very important to him.  James was medically trained at the hospital, with additional training from Prestige.  Another carer was provided to deliver care in the morning and evenings, as well as a carer through the night to attend to his medical needs and personal care.

The complex care provided by the team at Prestige to support his muscular dystrophy symptoms included tracheostomy care, BPAP, suctioning, cough assist, ventilator and nebuliser support, handling and hoisting, as well as personal care and domestic care of his home.  Chris now lives a fulfilled life at home with his dedicated team of carers, and his mother is able to enjoy her life again.

Chris said: “My carers give me much-need emotional support, as well as practical help.  My views are completely respected and I feel understood.  My carers are more like friends, and most of all I have my life back.”

 

 

 

 
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CLINICAL EXCELLENCE AT PRESTIGE NURSING & CARE

Clinical excellence is at the heart of our culture and approach to service delivery at Prestige Nursing & Care. Our nurse-led home care service is monitored and supported by our experienced regional nursing teams.  Our team of qualified regional nurses are registered with the Nursing and Midwifery Council (NMC). Each holds a registered nursing qualification in at least one nursing specialism, including general adult nursing, learning and disability nursing, mental health nursing and children’s nursing. They enable the planning and delivery of safe and effective complex care to our clients, that is focused on ensuring the best possible care experience for our clients and their families.

Our nurses work in partnership with our care co-ordinators, carers, clients and families to identify specific care needs and plan the most appropriate care provision, whilst ensuring all our carers have the skills they need to deliver high standards of nurse-led care. They also provide families with on-going advice and continual support to ensure they feel reassured about the service we provide.

WHAT DOES OUR ADULT COMPLEX CARE SERVICE INCLUDE?

CONDITION-LED CARE

We provide specialist care of conditions that affect a person’s ability to live well. Whatever specialist condition you are living with, our carers are supported by our expert nursing and clinical teams to ensure you live a life with improved quality and health outcomes, whilst maintaining choice and independence.

EXPERT NURSE-LED CARE

Our service is nurse-led and carers are trained in the clinical skills required to provide care and support for complex, terminal and other medical conditions that impact how you live your life. They are supported by an experienced, dedicated registered nurse who undertakes regular competency assessments to ensure high standards of care delivery and provides clinical monitoring, supervision and support. With this leadership and oversight carers can perform many delegated healthcare tasks and clinical interventions at home.

HOME FROM HOSPITAL

We work closely with community nursing teams and hospital discharge planners to support a swift and effective discharge from hospital ensuring the right care and support is in place. Our high-quality, home care service delivered by trained and experienced carers and overseen by clinical experts is focused on achieving outcomes that significantly reduce hospital admissions.

REABLEMENT CARE

For clients who need to relearn skills our carers assist goal-focussed care at home that involves intensive time-limited assessment and therapy intended to reduce the need for a long-term care arrangement or readmission to hospital.

ENABLEMENT CARE

We provide support to people who need to learn new skills to improve the overall quality of their life with as much independence as possible. Our carers are focused on enabling a person to do as much for themselves as possible with the right support, as opposed to just doing it for them. We know this means people can live a more fulfilled and purposeful life.

REHABILITATION

We assist outcome-based rehabilitation at home following a life-altering incident supports an individual with mobility, physical development and mental health well-being. We adopt a multi-disciplinary approach to the service we provide working in collaboration with other healthcare professionals, including physiotherapists, occupational therapists and speech and language therapists to ensure a high-quality, holistic and responsive approach to the brain injury care we provide.

PALLIATIVE / END-OF-LIFE CARE

Our compassionate and competent carers are there to support those who need palliative or end-of-life care. They are trained to ensure an individual’s medical, physical, psychological, social and spiritual well-being is enhanced, whilst ensuring a person’s wishes, choices and preferences are met until the very end-of-life.

HOW WE PROVIDE ADULT COMPLEX CARE AT HOME

Our trusted and established care adult complex care service can be provided in the following ways for someone needing nurse-led care:

  • Hourly care or visiting care, as it is sometimes referred is for those who need care and support with tasks of daily living or clinical care at certain times during the day.  Care at home can be provided from a 30 minute visit, to as many hours/visits throughout the day you require, one day or several days of the week depending on your care and support needs.  For those who have complex needs, hourly care can be provided over a 24-hour period.
  • Live-in care for when a permanent care arrangement is needed with greater levels of support around the clock to ensure a person can live well at home.  Through our family of leading home care brands in the UK, we are able to offer award-winning live-in care rated ‘Outstanding’ by The Care Quality Commission (CQC) from The Good Care Group.
  • Respite care for those needing a short-term arrangement after hospital discharge to rehabilitate or when a family carer needs a break from their caring role. It is also an ideal service for families who wish to assess whether care at home is the right care choice for them.
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HELPING ROBERT’S SPINAL INURY REHABILITATION AT HOME

Robert sadly suffered a spinal cord injury having fallen down …

HELPING ROBERT’S SPINAL INURY REHABILITATION AT HOME

Robert sadly suffered a spinal cord injury having fallen down a flight of stairs, resulting in multiple fractures including a spinal fracture to his back.

Following the accident, he had surgery which involved the insertion of pins and plates as well as wrist fusions. This left Robert with paralysis from the chest down, with limited movement in his shoulders, his hands and wrists.
He also had Autonomic Dysreflexia directly related to his spinal cord injury, which causes high blood pressure coupled with slow heart beats. After the acute surgical phase, Robert was discharged from hospital to a specialist spinal injury unit for treatment and rehabilitation, but he was desperate to get back to his much-loved home.

Prestige Nursing & Care was contacted by Robert’s case worker with a view to establishing a 24-hour care and support package.  Robert required a team of fully trained carers to meet his complex needs around the clock.  They received bespoke training to meet his physical needs and additional clinical training to monitor and support his Autonomic Dysreflexia.  A plan of care was then developed for Robert that not only met his care needs, but reflected how he wished to live his life to support his independence, choices and wishes.

Prior to Robert moving home, the team at Prestige worked in partnership with the care management team at the spinal injury unit to ensure a smooth transition back home for Robert.  A clear action plan was created to ensure an efficient and effective discharge from the spinal injury unit, with the right adult complex care package in place.  Once home Robert’s carers completed training, with the expert oversight of Prestige’s registered nursing team to ensure they were competent to provide the care that Robert needed.  The local team worked with other healthcare professionals involved in Robert’s care to ensure he had essential equipment needed to improve the quality of his life at home.

After three years, Robert was able to move back home and his condition is well-managed by the Prestige care team, and its clinical experts. Living at home, with support, has enabled Robert to reclaim and retain as much independence as possible.

 

 

 

CARE MANAGEMENT LOCAL TO YOU

Our responsive and reliable local care at home service for those adults with complex care needs means we can put a care pathway and plan in place quickly and in many cases within 24-hours.

We work in partnership with healthcare professionals, case managers, families and personal injury lawyers to ensure we have an in-depth understanding of a clients’ needs.  Our local registered nurse will conduct a comprehensive assessment of your needs at home, in hospital or in any specialist care setting if you are awaiting discharge back to your own home enabling a plan of care and support to be developed that meets all your needs.

ADULT COMPLEX CARE PLANNING

Our approach to care planning, whether it is for an hourly care service, respite care or a permanent live-in care arrangement ensures we capture all your preferences and wishes so you can live a contented life in the comfort of your own home.  We take time to find the nursing carer that would best meet your adult complex care needs, making sure they are closely aligned with how you wish to live your life. Once care is in place, our local teams made up of care and clinical experts provide you, your family and our carer with an abundance of on-going support, giving you reassurance that you or your loved one is receiving the very best complex care at home.

QUALITY ASSURANCE THROUGH REGULATED SERVICE PROVISION

Prestige Nursing & Care is not an agency.  Unlike a home care agency, we are a fully manged and regulated complex care provider, which means our clients, their families and our professional partners can be reassured that the care and support we provide those living with adult complex care needs is of the very highest quality.   Our service is inspected by the Care Quality Commission (CQC) in England and the Scottish Care Inspectorate (SCI) in Scotland.  We are proud that 96% of our inspected services have been rated as providing a ‘Good’ service, with 4% rated ‘Outstanding’ and all our services in Scotland have been awarded a five-star rating.  Our accredited service for adult complex care, which meets local and national quality standards and ensures a consistent approach to the care we provide, provides peace of mind and reassurance that our service if of the highest quality.

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

Complex Care FAQS

WHAT IS COMPLEX CARE?

Complex care or nurse-led care, as it is sometimes referred to is nursing care which is led and managed by a highly experienced registered nurse. The registered nurse will guide and oversee the clinical care provided by a trained carer and in some cases the nurse will provide the care too.  Nursing home care requires specialist expertise and knowledge to ensure high-quality care is provided in relation to all aspects of care, including clinical components, ensuring it is both safe and effective, whilst positively enhancing the experience for the person receiving care.  The nursing home care service provided must be able to identify changes in health and evolve the care provided as needs change.

We are experts in the specialist care of conditions that impact a person’s ability to live well, including neurological conditions like dementia, Parkinson’s or motor neurone disease, physical disabilities such as muscular dystrophy and cerebral palsy, and palliative/end-of-life care for those that are nearing the end-of-life.   We provide nurse-led clinical interventions including respiratory and airway support, like tracheostomy management, feeding support including PEG feeding and stoma and catheter care.

Complex care includes:

  • Monitoring health and recording progress
  • Working in collaboration with other healthcare professionals by adopting a multi-disciplinary approach to care that improves outcomes
  • Recording symptoms
  • Medications management and administration
  • Providing advice and support
  • Educating about how to manage illness
HOW DO I ARRANGE CARE?

We are here to help you and your family every step of the way and you can call us on 0808 239 1525 and one of our friendly care advisors will provide information, guidance and advice on your care options. 

Or to find the nearest Prestige Nursing & Care service to you, use the search function on our website.

WHAT CLINICAL SERVICES CAN YOU PROVIDE?

Our established nurse-led service cares for generations of people – from babies who require paediatric care at home , to children with a learning disabilities through to adolescents who have had a life-changing accident, to adults and older people living with neurological conditions or other physical disabilities.

Our care aims to facilitate independence, social interaction and emotional well-being whilst supporting people to fulfil their potential and live a purposeful and meaningful life.

We are experts in the specialist care of conditions that impact a person’s ability to live well, including neurological conditions like dementia, Parkinson’s or motor neurone disease, physical disabilities such as muscular dystrophy and cerebral palsy, and palliative/end-of-life care for those that are nearing the end-of-life.  We provide nurse-led clinical interventions including respiratory and airway support, like tracheostomy management, feeding support including PEG feeding and stoma and catheter care.

WHAT CONDITITONS DO YOU CARE FOR?

We are experts in the specialist care of conditions that impact a person’s ability to live well, including:

  • Arthritis
  • Acquired brain injury (ABI)
  • Bariatric care
  • Cancer
  • Cerebral palsy
  • Dementia
  • Diabetes
  • Knee and hip replacement after-care
  • Learning disabilities
  • Mobility/frailty
  • Motor neurone disease
  • Multiple Sclerosis (MS)
  • Muscular dystrophy
  • Palliative /end-of-life
  • Parkinson’s
  • Spina bifida
  • Spinal injury
  • Stroke
WHAT IS YOUR CLINICAL STRUCTURE?

Clinical excellence is at the heart of our culture and approach to service delivery at Prestige Nursing & Care. Our complex care and condition-led care services are led, developed, monitored and supported by our experienced registered nurses who, as a team have a wealth of experience with a diverse range of nursing specialisms.

Our Head of Clinical Services is a registered nurse and children’s nurse with extensive clinical experience spanning 30 years.  Providing professional and operational leadership to all Prestige nursing teams, our Head of Clinical Services is responsible for ensuring we provide a high-quality home care service, that is safe and effective and delivers the best possible care experience to our clients and their families.

Within the Clinical Services team we have Regional Clinical Leads who are qualified nurses and provide professional leadership and operational management to the registered nursing workforce, across a specified region.   Working alongside our expert regional nurse team they support all aspects of complex care provision ensuring every client receives compassionate high-quality care which is evidence based and aligned with national best practice guidance.

Our team of regional registered nurses hold a variety of nursing qualifications including general nursing, learning disability nursing, registered mental health nurses and registered children’s nurses.  They enable the planning and delivery of safe and high-quality complex care provision to our clients.  Our nurses work in partnership with healthcare professionals and families to identify specific care needs and plan the most appropriate care provision, whilst ensuring all our carers have the skills they need to deliver high standards of nursing care.  They provide families with on-going advice and continual support to ensure they feel reassured about the service we provide.

HOW DO YOU MANAGE COMPLEX CARE AT HOME?

Our fully managed service is led by our expert clinical services team who have a wealth of nursing experience. We work collaboratively with our clients and their families to develop a thorough care and support plan that accurately reflects a person’s holistic needs.  We also adopt a partnership approach to working with local authority partners, NHS services, multidisciplinary teams, therapists and other community bodies involved in a person’s care.  This means we are well-informed so we can provide continuity of care ensuring the right care is in place at the right time, whilst responding efficiently to changing needs and strengthening care provision when required.

WHAT GOVERNANCE/REGISTRATIONS DO YOU HAVE?

We provide a fully managed and regulated care at home service, which means our clients, their families and our professional partners can be reassured that the care and support we provide is of the very highest quality. Our service is inspected by the Care Quality Commission (CQC) in England and the Care Inspectorate (SCI) in Scotland.  In England we hold registration for Treatment of Disease, Disorder or Injury (TDDI), a registration not all home care providers hold.

We are proud that 96% of our inspected services have been rated as providing a ‘Good’ service, with 4% rated ‘Outstanding’ and our services in Scotland have been awarded a five-star rating.

We have developed our own bespoke accreditation tool which means we are continually monitoring and measuring the quality and consistency of our complex care services for children and young adults to ensure it meets required local and national standards of high-quality care provision.  We know this provides much-needed assurance to our clients, their families and other professionals involved that they are receiving the very best care and allows us to further improve what we do.

WHAT TYPE OF CARE DO I NEED?

To enable us to understand the type of care you would need, our experienced registered nurse local to you will conduct a comprehensive assessment of your needs at home, in hospital or in any specialist care setting if you are awaiting discharge back to your own home enabling package of care to be created that meets your needs.

Our approach to care planning, whether it is for a respite service or a permanent arrangement for hourly care or live-in care ensures we capture all your preferences and wishes so you can live a contented life in the comfort of your own home, with independence.

We take time to find the carer that would best meet your care and support needs, making sure they are closely aligned with how you wish to live your life. Once care is in place, our local teams made up of care and clinical experts provide you, your family and our carer with an abundance of on-going support, giving you reassurance that you or your loved one is receiving the very best care at home.

We are here to help you and your family every step of the way and you can call us on 0808 239 1525 and one of our friendly care advisors will provide information, guidance and advice on your care options.   Or to arrange an assessment contact our service near you.

WILL I HAVE A REGULAR CARER?

Yes. As part of our considered care planning process we take time to match a team of carers that best meets a clients’ specific needs. We ensure that the care team that cares for you or your loved one has the skills and experience to meet your care and support needs, but we also make sure that they share similar interests, hobbies and values.

You can be rest assured that you or your loved one will receive care all year round from a team of well-matched, competent and compassionate carers who truly understand your needs and how you wish to live your life.  We know our approach provides consistency and continuity of care and leads to a stimulating and enjoyable life for our clients.

WHAT DOES A COMPLEX CARER DO?

A competent complex carer will provide the following specialist tasks:

  • Home ventilation and respiratory support
  • Assistance with medicines that control pain
  • Tracheostomy care
  • PEG gastrostomy feeding
  • Medication administration
  • Bowel management
  • Continence care
  • Epilepsy management

We work collaboratively with other healthcare professionals, multidisciplinary teams, commissioning groups and other therapy providers involved in our client’s care to ensure an integrated and holistic approach to nursing care we provide.

Family involvement is central to our approach to providing nurse-led care at home and our care teams will ensure they receive high levels of support, as much as they want, as and when they need it.  The level of care provided is planned in partnership with everyone involved in a client’s care as we know through our experience this ensures goals are reached and outcomes are improved.

HOW QUICKLY CAN CARE BE SET UP?

Our responsive and reliable local care at home service means we can put care and support in place quickly, and in many cases within 24-hours. We are providing a fully managed care and support service in over 30 locations in the heart of communities across England and Scotland, so our experts local to you can put care packages in place quickly, working in collaboration with local healthcare professionals who are involved in your care.

HOW WILL YOU MATCH THE MOST SUITABLE CARERS TO MEET MY NEEDS?

As part of our considered care planning process we take time to match a team of carers that best meets a clients’ specific needs. We ensure that the care team who cares for you or your loved one has the skills and experience to meet your care and support needs, but we also make sure that they share similar interests, hobbies and values.  We this leads to a stimulating and enjoyable life for our clients.

HOW MUCH EXPERIENCE DO YOU CARERS HAVE AND HOW DO YOU TRAIN THEM?

When you choose Prestige Nursing & Care you can be reassured that the carer that cares for you or your loved one is experienced and expertly trained to provide the support you need, to the high standards you should expect. We require carers who join us to have at least six months care or health sector experience and all carers complete our induction training programme, which goes above mandatory requirements.

Before a carer is able to provide complex care at home they are trained by our registered nurses, clinical experts and other healthcare professionals involved in providing care to a specific client, which includes hands-on nurse training so they can competently undertake a range of clinical interventions.

We adopt a bespoke approach to training that ensures our carers have the knowledge, skills and aptitude to deliver high-quality complex care that meets the very specific needs of our clients.  Through our unrivalled supervision and clinical oversight carers can adapt their approach and evolve the care they provide to meet changing needs.

We are very proud of our carers – each and every one of them is dedicated to providing compassionate, sensitive and dignified complex care at home that means our clients live a fulfilled and meaningful life, with independence and choice, for all of life.

WHAT IS A CARE AND SUPPORT PLAN?

A care and support plan is a written statement created by our experienced registered nurse following our thorough assessment of your needs. It outlines all your specific care needs but also covers all your choices and preferences in how you live your life.

The care plan identifies specific care and support tasks involved in your care detailing when, where and how they should be carried out and by whom.  It ensures you get the right care, in the right time and in the right place – your home.  Our registered nurse will conduct a comprehensive review of the plan working with your care to team to ensure it always accurately reflects your needs and you achieve your outcomes.

WHAT SHOULD I CONSIDER WHEN SELECTING COMPLEX CARE PROVIDER?

When choosing a care provider, there are several factors that are worth considering:

Regulated service provider or agency

It is really important when considering a home care provider that you recognise the differences between a regulated service provider, whose service is registered and inspected by the Government and an agency, who are unlikely to provide a regulated service and whose carers will be self-employed.  Care services in England are regulated by the Care Quality Commission (CQC) and in Scotland by the Care Inspectorate.

Quality assurance through regulated service provision

Prestige Nursing & Care is not an agency.  Unlike a home care agency, we provide a fully regulated home care service, which means our clients, their families and our professional partners can be reassured that the care and support we provide is of the very highest quality.

Our service is inspected by the Care Quality Commission (CQC) in England and the Care Inspectorate (SCI) in Scotland.  We are proud that 96% of our inspected services in England have been rated as providing a ‘Good’ service, with 4% rated ‘Outstanding’ and all our services in Scotland have been awarded a five-star rating.

Fully managed service or introduction agency

When arranging care at home you will need to consider how much involvement you want in managing the care you receive.  With a fully managed service, like Prestige Nursing & Care you will benefit from carers that are employed, expertly trained to meet specific client needs and high levels of management and clinical oversight to ensure you receive a high quality service.

If you choose an introduction agency, the carers are self-employed and once introduced to you they will need to be managed, supervised and paid for by the family.  If they need time off or holiday, then you will need to arrange cover which is not always easy and can cause issues with continuity of care for you or your loved one.  We know many families like the peace of mind and reassurance, that comes from knowing their loved one is getting quality and continuity of care that comes from using a fully managed service provider.

The value of recommendations

Many families who are arranging care at home for a loved one or family member, will seek recommendations from those they know.  It is also worth consulting your local authority social services team to see who they consider to be a reputable provider, as they will have vetted the provider to meet essential standards of quality and compliance.

There are also rate and review websites that cover care providers in the UK.  Homecare.co.uk and NHS Choices receive online reviews from those who have used provider services and the UKHCA (United Kingdom Home Care Association) will also have a list of reputable providers for you to choose from.

HOW MUCH DOES COMPLEX CARE COST?

The cost of complex care is dependent on the level of care and support you require. If you are receiving our hourly care at home service the overall cost will be determined by the number of visits and frequency of visits to you at home.

Our experts will conduct a comprehensive assessment of your needs at your home, or in hospital if you are awaiting discharge to truly understand what you need and therefore how much care at home will cost.

We know that the cost of our professional complex care is very competitive when compared with other providers.  It is worth noting that when comparing the cost of home care with a care package in a care home, that the fee you pay for complex care is actually for the care and support you receive.  In a care home your weekly fee mainly covers your accommodation, food and social activities with the care package being only a small part of what you pay.

You may be entitled to either healthcare funding, social care funding or Government funding to contribute to the cost of care.  If you are faced with having to finance your own home care (known as self-funding care), there are initiatives available to you, including care fees annuities or equity release schemes that could provide the funds you need for your care and support.

HOW IS CARE FUNDED IN ENGLAND?

At Prestige Nursing & Care we have been helping families up and down the country to understand how they can finance care, whether that is through funding available to them or financing initiatives that can contribute to the cost of care. If you are living with a complex need and require nurse-led care or paediatric care you may be entitled to healthcare funding to receive this care at home.

If you need care and support for day-to-day tasks and activities to enable you to maintain independence, then you may be entitled to social care funding to get the help you need.  This is means tested funding so the level of funding will depend on your care needs and your personal circumstances.

Depending on your needs you may be eligible for funding through Government initiatives, like the Disability Living Allowance (DLA).

For many families however, they find they do not qualify for any funding to contribute to their overall cost of care and are faced with financing care themselves – this is referred to as private pay or self-funding care.  You may wish to consider a care fees annuity or an equity release scheme if you are self-funding your care as they can considerably contribute to the cost of home care.

HOW IS CARE FUNDED IN SCOTLAND?

At Prestige Nursing & Care we have been helping families throughout Scotland to understand how they can finance care, whether that is through funding available to them or financing initiatives that can contribute to the cost of care. In Scotland personal and/or nursing care is funded to all adults in the country over the age of 65 who have been assessed by their local authority as eligible for these services.  Personal care refers to anything done for you that is personal in nature.  This may include tasks relating to personal hygiene, bathing/showring, shaving and oral hygiene, nail care, continence care, catheter and stoma care, skincare, laundry and bed changing.  Read more about care funding in Scotland.

For many families however, they find they do not qualify for any funding to contribute to their overall cost of care and are faced with financing care themselves – this is referred to as private pay or self-funding care.  You may wish to consider a care fees annuity or an equity release scheme if you are self-funding your care as they can considerably contribute to the cost of home care.

WHAT HAPPENS IF THE CARER IS UNEXPECTEDLY UNWELL AND UNABLE TO CARE FOR ME?

As we have a team of carers assigned to care for you, one of the other members of your care team will be able to step in offering continuity of care.

HOW DO I PAY FOR MY CARE SERVICE?

We provide a monthly invoice to you for care services provided based on the package of care we agree with you when we start the service. Most of our clients find that paying a monthly direct debit is the most convenient way to pay for their care.

HOW WILL MY CARERS GET INTO MY HOME IF I AM UNABLE TO ANSWER THE DOOR?

If you cannot answer the door to your care team, we ask that you install a key box safe outside your home that they can gain access. The code would remain confidential between our office and the care team to ensure your security and safety.

WHO COULD HELP ME FIND A REGULATED PROVIDER?

If you are looking for a regulated service provider like Prestige Nursing & Care in England, you will be able to search for these providers on the Care Quality Commission (CQC) website. In Scotland you will need to visit the Care Inspectorate website.

WHAT HAPPENS IN A MEDICAL EMERGENCY? WILL THE CARER STAY WITH ME UNTIL HELP COMES?

Absolutely. Our carer will always remain with you to ensure you get the care you need in an emergency. If you need to go to hospital, they will come with you to support you.  The carer will liaise with your family and any other health professionals involved in your care to make sure everyone is informed of the situation and you have the reassurance you need.

WHAT HAPPENS ON WEEKENDS AND BANK HOLIDAYS?

Our fully managed service is provided 24/7, 365 days a year so you can be reassured that you or your loved one will receive care all year round from a team of well-matched, competent and compassionate carers who truly understand your needs and how you wish to live your life.

COST OF ADULT COMPLEX CARE

The cost of complex care for adults is dependent on the level of care and support you require.  If you are receiving our hourly adult complex care the overall cost will be determined by the number of visits and frequency of visits to you at home. Our experts will conduct a comprehensive assessment of your needs at your home, or in hospital if you are awaiting discharge to truly understand what you need and therefore how much complex care at home will cost.

We know that our cost of professional adult complex care is very competitive when compared with other home care providers.  It is worth noting that when comparing the cost of nursing care with a nursing care package in a nursing home, that the fee you pay for nursing care at home is actually for the care and support you receive.  In a nursing home your weekly fee mainly covers your accommodation, food and social activities with the care package being only a small part of what you pay.If you are living with a disability or life-limiting condition that affects your health and ability to live daily life, you may be entitled to either healthcare funding, social care funding or Government funding to contribute to the cost of complex care at home.  If you are faced with having to finance your own home care (known as self-funding care), there are initiatives available to you, including care fees annuities or equity release schemes that could provide the funds you need for your care and support

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

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HOW DO I FIND OUT IF I AM ELIGIBLE FOR HEALTHCARE FUNDING?

If you are an adult living with a complex need and require nurse-led care you may be entitled to healthcare funding to receive this care at home.  NHS Continuing Healthcare funding is organised and funded by your local Clinical Commissioning Group (CCG).

The process of finding out whether you are eligible for NHS Continuing Healthcare funding can be a lengthy one as the qualification criteria is rigorous and can be overwhelming for some families.   As we have formed strong relationships with CCG teams locally, we are able to work effectively together to deliver the best outcome possible for our families.

So, what are the steps in securing healthcare funding:

  1. The first step is to ask for a continuing care assessment from your social worker or GP.
  2. A medical professional will be assigned to your application and will arrange with you to undertake an initial screening at home, or if you are in hospital, they will visit you there.
  3. Each of your needs if determined as healthcare needs, will be categorised as low, moderate, high, severe, or priority. You will be eligible for support if you have one priority and more than one severe need.

They will consider the following needs:

  • Breathing
  • Nutrition
  • Continence
  • Skin integrity
  • Mobility
  • Communication
  • Psychological needs
  • Emotional needs
  • Cognition
  • Behaviour
  • Medication and drug therapies
  • Altered state of consciousness
  • Other significant care needs
  1. You will then receive the results from your assessment via your CCG. They will then make the final decision as to what level of funding you will receive.  They will write to you and explain how they made their decision.
  2. If you are deemed as not eligible you can appeal this decision.

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

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RESPONSIVE LOCAL TEAMS WITH NATIONWIDE COVERAGE

We are providing complex care in over 30 locations in the heart of communities across England and Scotland.  The fully managed service we provide is highly responsive and our experts local to you can put care packages in place quickly, working in collaboration with local healthcare professionals, multidisciplinary teams, therapeutic care providers and other community support services.  We know this holistic approach ensures our clients get the best out of life, for all of life.

Find a care service near you

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

We are here to take your call and will provide impartial support and guidance – contact our friendly care experts today to discuss your adult complex care needs.


0808 239 1525