Complex Care at Home

Nurse-led, CQC-registered specialist complex care for adults with high-dependency, long-term, or life-limiting health needs. Our directors are a Registered General Nurse and a Registered Mental Health Nurse — clinical expertise at every level of governance.

Clinical Care. At Home. Nurse-Led.

Complex care — sometimes called continuing care or high-dependency care — is specialist support for adults whose health needs cannot be safely or appropriately met through standard homecare. It typically involves clinical decision-making, medication management beyond routine administration, risk oversight, and multidisciplinary team coordination.

At Lamora Healthcare, complex care is our primary specialism. Our nursing directors do not merely oversee from a distance — they are directly involved in clinical assessment, care planning, staff competency sign-off, and ongoing oversight of every complex package we hold.

Nurse-led assessment and care planning for every package
Staff matched by clinical competency to specific presentations
Direct MDT collaboration with community nurses, GPs, and therapists
Proactive risk monitoring and escalation protocols
Monthly clinical reporting to commissioners and case managers
NHS Continuing Healthcare packages accepted
Refer a Client NHS CHC Information
Lamora Healthcare carer administering medication to wheelchair user at home

Discuss a Complex Care Package

Our Registered Manager welcomes direct clinical discussions. Call 0333 004 0177 or submit a referral online.

The Lamora Complex Care Delivery Model

Four stages from referral to ongoing clinical oversight — structured to meet the governance expectations of NHS CHC teams, local authorities, and case managers.

1

Rapid Response

Referral acknowledged within 4 hours. Clinical suitability reviewed by nursing director. Timeline confirmed same day for urgent cases.

2

Clinical Assessment

Comprehensive nurse-led assessment in person. Risk stratification, MCA where indicated, medication review, environment, and MDT liaison.

3

Package Design

Bespoke care plan. Staff competency matched to presentation. All governance documentation completed and shared with commissioner before care starts.

4

Clinical Oversight

Ongoing director-level oversight. Monthly reporting to commissioner. Immediate escalation on any change in clinical presentation.

Specialist Complex Care Across These Presentations

Our clinical leadership has direct, hands-on NHS experience across all of these presentations — not simply supervisory familiarity, but genuine clinical expertise.

Acquired Brain Injury

Complex care at home for individuals with ABI from stroke, trauma, or hypoxia. Management of cognitive, behavioural, communication, and physical sequelae. Live-in packages available.

Mental Health & Dual Diagnosis

RMN-led intensive community support for complex mental health presentations — psychosis, personality disorder, treatment-resistant conditions, and co-occurring substance misuse.

Spinal Cord Injury & Physical Disability

High-dependency personal care for individuals with SCI, MND, MS, and other progressive neurological conditions. Complex moving and handling, catheter care, and skin integrity management.

Palliative & End-of-Life Care

Nurse-led palliative care enabling individuals to remain at home with dignity. Fast Track CHC pathway supported. Coordinated with specialist palliative teams and hospice at home services.

Learning Disabilities & Autism

Person-centred complex care for adults with LD and autism whose health needs meet complex or CHC thresholds — behaviours that challenge, complex co-morbidities, high personal care needs.

Post-Hospital Discharge

Rapid discharge-to-assess and discharge-to-rehabilitate packages. 24–72 hour mobilisation. Prevents delayed discharge and reduces readmission risk.

Clinical Governance Built In

Every complex care package we hold is governed to NHS commissioning standards. We do not apply governance retrospectively — it is built into our delivery model from the point of referral.

  • Comprehensive risk assessment reviewed minimum 3-monthly
  • Mental Capacity Act assessments where clinically indicated
  • DoLS referrals made promptly and tracked
  • Safeguarding alerts raised same working day
  • Incident reporting and investigation within 24 hours
  • Monthly progress reports as standard to commissioner and case manager
  • Full governance documentation pack available on request

CQC Registered

Regulated for Personal Care under the Health and Social Care Act 2008 since February 2023.

RGN & RMN Directors

Both directors are NMC-registered nurses with direct NHS experience in complex care environments.

24–72hr Mobilisation

Structured rapid response capability. Urgent referrals acknowledged within 4 hours during working hours.

Full Governance Pack

Policies, risk frameworks, capability statement, and business continuity plan available on request.

✓ CQC Registered Provider
Registered28 February 2023
Regulated ActivityPersonal Care
Registered ManagerNorah C Chawarika RGN

Ready to Discuss a Complex Care Package?

Call our clinical team directly on 0333 004 0177 or submit a referral online. We respond to all enquiries within one working day.