An individual plan—not a standard package

Complex care at home is a tailored support arrangement for someone with multiple, significant or changing needs. It requires careful assessment, clear responsibilities and coordination with the professionals involved in the person’s care.

Needs that may require additional planning

  • Significant mobility needs and assessed moving-and-handling arrangements
  • Personal care where health conditions make routines more involved
  • Support for people with neurological conditions or multiple long-term conditions
  • Communication, cognitive or behavioural support planned around the individual
  • Care coordinated with district nurses, therapists or specialist clinical teams

Training, competence and clinical boundaries

Some tasks require registered clinicians or staff with specific training, competency assessment and supervision. Home-care workers must only undertake tasks they are trained, competent and authorised to perform. Kells must establish whether requested tasks fall within the service’s registration, staffing, training and operational capability before confirming an arrangement.

Assessment and coordination

Planning should cover the person’s consent and decision-making arrangements, clinical information, risks, equipment, emergency procedures, staffing levels, handovers and review dates. Where appropriate, the plan should be developed with the person, family or representative and relevant health and social-care professionals.

When needs change

Changes in health, equipment, medication, mobility or behaviour should trigger a review. A safe plan identifies who to contact, what constitutes an urgent concern and which clinical team is responsible for advice and treatment.

Discuss complex home-care needs

Contact Kells with an outline of the support required and any professional care plans. Suitability and availability can only be confirmed after assessment and capability checks.