Complex Care at Home

Complex care is designed for individuals whose needs extend beyond traditional domiciliary care and may involve clinical interventions, rehabilitation support, specialist equipment or coordinated multidisciplinary input.

Active Assistance is registered for both Personal Care and Treatment of Disease, Disorder or Injury (TDDI), enabling us to support more complex needs within the home environment.

Absolutely. Many of the people we support are adapting to life following a brain injury, spinal cord injury, stroke or other significant illness or injury. We regularly support individuals transitioning home following hospital treatment, specialist rehabilitation or significant changes in their condition.

Returning home can be a major milestone, but it often requires additional planning, support and rehabilitation. We work closely with families and professionals to put the right care in place and support successful transitions from hospital or rehabilitation into everyday life.

In many cases, yes. With the right support, individuals with complex needs can often continue living safely within their own homes and communities. Every situation is assessed individually to ensure the proposed package is appropriate, safe and sustainable.

Yes. We support individuals with a wide range of complex clinical requirements, including respiratory care, tracheostomy care, ventilation support, PEG feeding and complex medication management.

Packages are supported through nurse-led oversight, competency management and robust clinical governance.

Absolutely. Many of the individuals we support are working towards rehabilitation goals following injury, illness or changes in health.

We work closely with therapists, clinicians and case managers to help ensure care remains aligned with agreed outcomes and supports progress wherever possible.

Absolutely. In fact, many of the individuals we support have multiple and co-existing conditions, such as a brain injury alongside physical disabilities, learning disabilities alongside complex health needs, or respiratory needs combined with neurological conditions.

Rather than focusing on a single diagnosis, we take a holistic approach that considers how different needs interact and the impact they have on everyday life. Support is then tailored around the individual, their goals and the wider professionals involved in their care.

We recruit specifically for the individual wherever possible, rather than relying solely on an existing staffing pool.

This allows us to consider not only the clinical requirements of the package, but also personality, communication style, interests and long-term compatibility. Once recruited, care teams receive specialist training and ongoing competency assessments to ensure they can safely support the individual's needs.

Complex care often involves a range of professionals working towards shared goals.

We regularly collaborate with therapists, clinicians, case managers, nurses, social workers and other specialists to ensure support remains coordinated and aligned with the individual's wider care and rehabilitation plans.

This multidisciplinary approach helps improve communication, reduce duplication and ensure everyone involved has a clear understanding of the individual's needs, progress and desired outcomes.

Complex care should be flexible enough to evolve alongside the individual. A person's needs often do change over time due to recovery, rehabilitation progress, changing health conditions or personal circumstances.

Care plans are reviewed regularly by qualified healthcare professionals and can also be updated whenever there is a significant change in needs, health, risks or rehabilitation goals.

As part of Active Care Group, we can also help individuals, families and professionals explore wider support pathways where appropriate, helping ensure continuity and reducing disruption if circumstances change.

Yes. Our services are regulated by the relevant care regulators, including the Care Quality Commission (CQC) in England and the Care Inspectorate Wales (CIW) in Wales.

This provides reassurance that care is delivered within robust clinical, governance and safeguarding frameworks, and is regularly assessed against recognised standards for quality, safety and effectiveness.

Active Assistance is registered for both Personal Care and the Treatment of Disease, Disorder or Injury, reflecting our ability to support individuals with complex health needs as well as day-to-day care requirements.

Your first conversation doesn't need to be a commitment to care.

We will take time to understand your situation, answer any initial questions, and discuss the support you may need. From there, we can arrange an assessment and recommend a care plan tailored to the individual.

For many families, that initial conversation provides valuable clarity and reassurance at a time when there can be a lot of uncertainty.

Funding arrangements vary depending on individual circumstances.

Complex care may be funded privately, through NHS Continuing Healthcare, local authority funding, direct payments, case management arrangements or personal injury and insurance settlements.

Our team can help explain the different options available and guide you through the process.