Services

Complex Care Services

Independence with the right level of support – your life, your way.

What is Complex Care? What does it mean?

Complex care is an interdisciplinary, person-centred professional support for people with learning disabilities, mental health conditions, and long-term or chronic physical disorders. Complex care service users receive medical care and assistance with everyday activities in their homes. Trusted Care Professional  provide services that enables individuals with complex needs to lead an independent and fulfilled life close to their family members or surrounded by their loved ones. This is holistic person-centred care we give involves specialist clinical intervention from highly trained staff.

Someone needing Complex Care might be: 
  • Those who are bedridden and generally immobile
  • Those with congenital disabilities
  • Those with genetic disorders
  • Or, those who have suffered life-threatening conditions or injuries

Types of Complex Care

Complex care services can benefit individuals with care needs due to various health conditions. Whether your loved one struggles with a learning difficulty, a mental health condition, or a physical disability – a dedicated carer can help them lead a dignified and fulfilled life at home. Below are listed the most common types of conditions that complex care services could help with.

Various neurological conditions can render a person incapable of coping with everyday activities on their own, including epilepsy, stroke, dementia, Alzheimer’s disease, and Parkinson’s disease. Complex neurological care focuses on alleviating symptoms and supporting individuals to live independently in their homes.

The conditions mentioned above affect the brain or nervous system, which may impair the person’s movement, speech, mental health, and overall behaviour. Therefore, complex care in these cases involves nursing care, physiotherapy, and speech and language therapy in collaboration with healthcare assistants. Long-term support from qualified carers can help individuals with neurological conditions regain their independent living skills.

Living with a mental health condition can be an isolating and challenging experience. Some mental health issues, such as depression, anorexia, bipolar disorder, and schizophrenia, majorly impact the individual’s progress in various areas of life.

Complex care specialists are trained to help individuals with mental health issues to cope with severe symptoms, including social withdrawal, hallucinations, delusions, and suicidal thoughts. With adequate assessment and quality support, these people can excel in their education, find a fulfilling job, and nurture meaningful relationships.

Learning difficulties are neurodevelopmental conditions that typically affect a particular area of the learning process, such as reading, writing, or maths. This category includes Dyslexia, dyspraxia, dysgraphia, dyscalculia, and ADHD. 

While these conditions don’t necessarily affect one’s intelligence or health in general, addressing their potential impact on the individual’s academic and social progress is important. With access to complex care services, a child or young adult with a learning difficulty can channel their unique traits into a productive framework and achieve their full potential in the classroom.

Unlike learning difficulties, learning disabilities might drastically impact the person’s overall behaviour and health. The most common learning disabilities that usually appear in early childhood include Autism, Asperger’s syndrome, Down’s syndrome, and developmental delay. These conditions are characterised by strict routines, sensory hypersensitivity, behaviours that may challenge, and related physical and mental health issues.

For example, individuals on the autism spectrum may experience meltdowns due to sensory overload or changes in routine. Professionals in a complex care service are trained to remove triggers, interpret challenging behaviours as a way for neurodivergent individuals to communicate their needs, and reinforce positive behaviour support.

A physical disability is a long-term condition that limits a person’s mobility, strength, and ability to engage in everyday activities. Common disorders that fit this definition include cerebral palsy, spina bifida, motor neurone disease, multiple sclerosis, and poliomyelitis.

Complex care services offer tailored disability support plans for individuals with the conditions above. Depending on how complex and severe the client’s disability is, these plans may involve a team of medical experts, including physical, occupational, and speech and language therapists. Access to adequate, interdisciplinary support is essential for the independence and integration of individuals with disabilities.

An acquired brain injury is an umbrella term for all cases of brain damage due to injuries and neurological disorders after birth. Some common causes of brain damage include brain tumours, stroke, physical trauma, brain infections (such as meningitis) or incidents involving asphyxiation.

Individuals with acquired brain injury often struggle with cognitive impairments and behaviours that may challenge them. Carers working with these service users work closely with them and their family members to properly understand the individual’s care needs. Complex care services can guide people with acquired brain injuries to complete independence and integration in every area of life.

Spinal cord injuries typically occur as a result of traffic accidents, incidents related to sports and manual labour, or physical violence. This type of injury can be a traumatic, life-altering event for the individual and their whole family. However, the assistance of an experienced support team can help people affected by spinal cord injury overcome their symptoms and lead fulfilling lives.

Complex care packages for spinal cord injury involve various nursing activities, such as minimising further damage with neck immobilisation aids, maximising respiratory function, and providing psychological support. As the service user progresses toward recovery, the carer should encourage mobility and independence under safe circumstances.

How we deliver care

  • We provide 24hour care packages to people whose needs require this level of support. This care is provided to both Children and Adults in their own homes. Dependent upon need, this care can be delivered in shifts by a team of staff if long days and waking nights are required or on a live in basis. Our clinical nurse managers will work with you and your family to devise a plan of care that is specific to your care needs and wishes.
  • We take a full approach to how we provide services; keeping the client at the heart of everything we do. We take great care to make sure each of our clients receives the kind of care that works for their personal needs. Our expert team of nurses assess each of our client’s clinical and social requirements to develop a bespoke, comprehensive care and lifestyle plan, that doesn’t just focus on the here and now, but on the future too. Our initial assessments guarantee a level of transparency, clinical risk evaluation, and provide a basis for training.
  • Everybody is unique, and the way we deliver our care takes that into account. Some of our clients need 24-hour support from either nurses or a team of multiple personal care assistants; others need lower levels of support, perhaps from just one team member; some of our clients opt for the support of a live-in care assistant. We also recognise that things can change over time, which is why we continually reassess our clients’ needs to make sure that the care they receive is reflective of their needs.
  • Our approach is centred around nurse-led clinical expertise, supported by fully trained personal health care assistants, who provide day-to-day complex care under nurse supervision. All our staff undertake thorough mandatory induction training on joining Optimam Complex Care, contributing to the achievement of The Care Certificate.

We place great importance on the relationships our teams build with our clients; they’re central to ensuring we can support all elements of our client’s care. That’s why we also take the time to match our clients to a team of personal care assistants, based on shared interests and personality matching – because we know that if you’re welcoming somebody into your life and your home, they’ve got to be the right fit. We’re committed to ensuring that the quality of our care is of the highest standard, as standard. That means continuously improving and pushing the boundaries of what quality means to our clients and ourselves.

Ventilator Care

Support with connecting and disconnecting your ventilator including NIPPI 3 and Cpap, support changing and cleaning your filters and tubing, support in recognising and managing problems with your ventilator.

Catheter Care

Including intermittent catheterisation, care of your suprapubic site and catheter and recognition and management of urinary tract infections.

Suction

We are able to provide both shallow oral suctioning and deep suction via tracheostomy using either a closed or open suction catheter system.

Cough Assist

Checking and ensuring settings are correct. Fully assisting in the use of your cough assist either manual or automatic.

Ambu-bagging

Manual ventilation where clinical signs indicate respiratory difficulties require it.

Chest Physio

Administer prescribed plan of care from physiotherapist

Bowel Care

From assisting you into the right position to digital evacuation and bowel stimulation, including use of suppositories and enema’s.

Stoma Care

Care of the stoma site and emptying of stoma bag.

Tracheostomy Care

We are able to undertake a full tracheostomy change, assist with inner cannula changing and cleaning and with care of your stoma site.

Oxygen Therapy

Recognising the signs of oxygen desaturation such as cyanosis and assisting to apply oxygen whether this is delivered via nasal cannula, face mask or tracheostomy using cylinders or condensers.

Epilepsy Management

Dealing with injury arising from a seizure administration of midazolam and diazepam

Gastronomy Care

Care of the stoma site, administering medication, water and food via PEG tube using both gravity and pumps.

Areas we provide care:

Organisations we work in collaboration with include:

NHS Hospitals

Private Hospitals

Local Authorities

Integrated Comissioning Board (ICBs)

YMCAs

Homeless Organisations

Charity Organisations

Private Clients