EXPERT NURSE-LED CARE AT HOME, FOR ALL OF LIFE

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

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

Our established nurse-led service cares for generations of people – from babies who require paediatric care at home, to children with a learning disability 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 is aimed 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:

We provide nurse-led clinical interventions including:

  • Respiratory and airway support
  • Tracheostomy management
  • Feeding support (including PEG feeding)
  • Stoma and catheter care.

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 nursing home.

Our complex home care services are nurse-led and delivered by highly-trained carers. Our team’s focus is to improve your quality of life and ensure you can continue to live life your way.

WHAT IS NURSE-LED CARE?

Nurse-led care – sometimes called complex care – is nursing care which is led and managed by a highly experienced registered nurse This complex care nurse will guide and oversee the clinical care provided by a trained carer.

The goal of complex care is to enhance the life of the person receiving care. Because it may include complex interventions and related care, home nursing demands specialist expertise and knowledge to ensure a high-quality, safe, and effective service.

As part of our nursing care service, we assess care needs and plan the care and support required. We continually monitor and evaluate outcomes, so the care provided meets changing needs.

Nurse-led care includes:

  • Establishing and agreeing on 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
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WHO CAN BENEFIT FROM NURSE-LED SERVICES?

Our team of dedicated nurse-led carers are experts in supporting individuals with a wide range of complex clinical needs including:

  • Degenerative conditions like dementia, Parkinson’s disease and Multiple Sclerosis
  • Cancer care
  • Stroke care
  • Physical disabilities such as muscular dystrophy and cerebral palsy
  • Respiratory conditions
  • Anyone that is about to be discharged from a hospital but faces a substantial recovery process
  • Anyone requiring a cost-effective alternative to residential care facilities or nursing homes
  • Palliative / End of life care

 

OUR APPROACH TO EXPERT NURSING CARE

Our 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 home nurse who provides unrivalled monitoring and supervision 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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Collaborating and partnering to care for you

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 and when they need it. The level of care provided is planned in partnership with everyone involved in a client’s care. We know through our experience this ensures goals are reached and outcomes are improved while allowing our clients to receive the very best care.

Recruiting the best carers for nurse-led care

When we recruit new carers into our team, we ensure they reflect our core values and specifically the values we adopt in the way we provide nurse-led care.  The six ‘C’s in our nursing care (care, compassion, competence, communication, courage and commitment) means the care we provide is effective, efficient, responsive and safe whilst ensuring our clients receive the very best care.

Carer with Boy

COMPETENT AND COMPASSIONATE NURSE-LED 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.

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.

Jane Photo

SUPPORTING JESSICA WITH PAEDIATRIC CARE AT HOME

Jessica  has highly complex health needs which …

SUPPORTING JESSICA WITH PAEDIATRIC CARE AT HOME

Jessica  has highly complex health needs which require constant intervention from highly skilled carers.

Jessica’s nursing care needs increased after her tracheostomy and she was prone to seizures, so her parents were exhausted. They needed trusted and reliable nursing care to brighten up her life. Jessica is very sociable with a good sense of humour. As her condition is life-limiting, it is vital to her parents that Jessica’s life is full of good memories and experiences.

After being repeatedly let down by other care providers Jessica’s case manager recommended Prestige Nursing & Care to her parents, Richard and Jane. The carers chosen for Jessica were trained by our paediatric nurse to ensure they had the level of skills and aptitude to meet Jessica’s needs.  Our nurse approved the care training and once competent, the carers worked closely with Richard and Jane to deliver Jessica's care.

Jessica has care from Prestige in the mornings and evenings, with double-up care twice a week so Jessica’s parents can go out.  Paediatric care is also provided during the day at weekends, and during the night when needed.  Specific clinical interventions provided by the Prestige carers include tracheostomy care and management, button feed PEG, oxygen monitoring and administration, administering and managing epilepsy and opiate medication, hoisting and personal care.

Richard and Jane could not be happier with Jessica’s care, and value the support provided to all the family.  Richard comments: “We’re all part of the team. The carers are very competent and well trained.”

Jane says: “Prestige has taken the pressure off us. They are absolutely brilliant.  They are always reliable and I cannot thank them enough for their support.”

Jessica enjoys fantastic days out like visits to the zoo and sea life centre where she loves the animals and sounds.  She has even been on a big wheel at a fairground! When she was recovering from a broken leg, the carers enabled her to maintain her independence and she continued to go out every day.

Richard and Jane are completely relaxed to leave Jessica with her care team, and can now enjoy occasional weekends away as well as regular nights out. Jessica, her parents and care team are all looking forward to a summer holiday together.

The Case Manager at Rehab Without Walls who recommended Prestige to the family having worked with us for four years says: “Prestige Nursing & Care always go the extra mile. They are very responsive.”

 

 

 

WHAT DOES OUR COMPLEX NURSE-LED SERVICE INCLUDE?

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.

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.

CONSIDERATE COMPANIONSHIP

Companionship is at the forefront of everything we do. Our carers will support your social, emotional and psychological needs as well as your care needs so you can live a fulfilled life, for all of life. At Prestige Nursing & Care we will match you with the most suitable carers so that interests and backgrounds are aligned as we know this makes for an enriched and enjoyable life. Our carers will support you to maintain friendships and social interests, whilst ensuring you continue to be connected to things you care about in your local community.

SENSITIVE PERSONAL CARE

Our carers are trained to provide personal care in a way that is compassionate, respectful and sensitive. They will support you with the tasks of bathing, personal hygiene, dressing and continence care, whilst ensuring you are always looking and feeling your best as we know how this builds self-esteem.

SAFE MOBILITY AT HOME

Our carers are trained to support safe mobility in and around the home – everything from transferring and positioning to minimising falls through effective assessment of risk, to facilitating and supporting safe movement. They will effectively assess risks and work with clients who wish to take ‘positive risks’ so that they can have as much independence as possible and live life as you wish.

EFFICIENT MEDICATION ADMINISTRATION

For the majority of our clients ensuring medications are managed effectively is critical to their health and well-being. Our carers can manage complex medication regimes, providing sensitive reminders and collecting medication from the pharmacy.

MEAL PREPARATION AND COOKING

Our carers will help by planning your meals, preparing and cooking your food for you, or with you whilst supporting you to eat if needed. They will focus on ensuring the food you eat meets your health and nutritional needs, whilst maintaining your preferences and choices.

HOUSEHOLD TASKS IN AND OUT OF THE HOME

Our carers will make sure your house is clean, laundry is done as required and will undertake any shopping or errands outside the home. They will also happily provide care to your beloved pet.

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.

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.

HOW WE PROVIDE NURSING CARE AT HOME

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

  • Hourly care – sometimes called visiting care -is for those who need care and support with daily living or clinical care at certain times during the day. Nurse-led 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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CARE MANAGEMENT LOCAL TO YOU

Our responsive and reliable local nurse-led service for those 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.

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 nursing 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 provide a fully managed and regulated nurse-led care at home service, which means our clients, their families and our professional partners can be reassured that the care and support we provide those living with diabetes 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 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 is of the highest quality.

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COST OF COMPLEX CARE

The cost of complex care is dependent on the level of care and support you require.  If you are receiving our hourly nurse-led 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 nurse-led 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.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.

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RESPONSIVE LOCAL TEAMS WITH NATIONWIDE COVERAGE

We are providing nursing 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.

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

NURSE-LED CARE FAQS

What Is Nurse-Led Care?

Complex care - sometimes called nurse-led care - 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 in all aspects of care, including clinical components, ensuring it is both safe and effective, while 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
  • 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.

Nurse-led 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
What Clinical Services Can You Provide?

Our established nurse-led service cares for generations of people including:

  • Babies who require paediatric care at home
  • Children with learning disabilities
  • Adolescents who have had a life-changing accident
  • Adults and older people living with neurological conditions or other physical disabilities

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

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What Conditions 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
How Do You Manage Nursing 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, while responding efficiently to changing needs and strengthening care provision when required.

What Does A Nurse-Led 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.

What Is A Nursing 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.  Working with your care team, our registered nurse will conduct a comprehensive review of the plan to ensure it always accurately reflects your needs and you achieve your outcomes.

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 depend on the number 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 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, 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 Quickly Can Nurse-Led Care Be Set Up?

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

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


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