Thorough assessments ensure every care plan reflects real needs.
Service
Complex Care at Home
Complex care at home is for people who need more specialist support than standard home care alone. Horizons Homecare provides tailored complex care for adults aged 18+, supporting people with multiple conditions, disabilities, chronic illnesses, and needs that require additional skills, delegated tasks, specialist training or equipment. Care is built around the individual, delivered by familiar carers where possible, and can be arranged as visiting care or live-in care depending on what works best for the client.
Specialist care for people with multiple conditions, disabilities or advanced needs
Carers trained specifically for each individual's clinical and specialist requirements
Flexible visiting or live-in care shaped entirely around the individual
Trusted care in action
Real care settings, consistent carers, and practical support families can rely on.
Same carers, every visit - familiarity builds real trust.
Families stay informed with clear, regular updates.
Who is this for?
Is this service right for you?
This service is for adults aged 18+ who need more specialist support at home because of a condition, disability, chronic illness, injury, or combination of needs that requires more than general care alone. It is also for families who are trying to support someone with more advanced needs and are worried about whether the right skills and continuity will be in place.
Common situations
- Adults living with multiple conditions whose combined needs require specialist, coordinated support
- People who need delegated clinical tasks such as PEG feeding, catheter care or ventilation support
- Families who have had poor experiences with other providers and need a team they can trust with complex needs
What's included
What this service covers
Personal care
Mobility support and hoisting
Medication support
PEG feeding
Catheter care
Stoma care
Tracheostomy care
Ventilation support
Epilepsy support
Condition-led routines and monitoring
Home help services
Trips, outings and appointments
How we deliver
How this service works
1
Get in touch
We will talk with you about what support is needed and what skills or routines are important to the person's care.
2
Free care assessment
We arrange a no obligation care assessment at home to understand the full picture of needs.
3
Meet your care team
Before care starts, we introduce you to the team who will be supporting you, all trained specifically for your needs.
4
Ongoing review
We review the care plan regularly and adapt support as health, needs and circumstances change.
Ready to discuss Complex Care at Home?
Book a free, no-obligation care assessment today.
What is complex care at home?
Complex care at home is personalised support for people whose needs go beyond routine day-to-day care and require a higher level of understanding, skill, training or coordination. This can include people living with multiple conditions, long-term illnesses, significant disabilities, reduced mobility, or health needs that require delegated tasks and more specialist support at home. For some people, complex care is mainly about the practical impact of their condition and the need for carers who understand how that condition affects daily life. For others, it may include support with more specialist tasks, equipment, or routines that require specific training before care can be delivered safely and confidently. Home care does not replace medical treatment. It works alongside wider health support, helping people remain safe, comfortable and supported in the place they know best.
How Horizons Homecare delivers specialist support
When a client has specialist needs, or needs that require additional training, we make sure the care team is properly prepared before support begins. In some cases, we train our trainers to trainer level so they can deliver the required skills directly to the client's care team, specifically for that client. In other cases, we source training externally through the NHS or other trusted training providers. We then train the staff supporting that individual so the client receives the appropriate level of care. This means care is not left to chance. It is built around what the person actually needs, with the right training put in place for the team delivering it.
Why families often seek complex care
Families often come to us because they are worried about receiving low-skilled or untrained carers from providers who simply send whichever carer is available. They are concerned about poor continuity, carers not understanding the condition, and support that feels inconsistent or unsafe. Those concerns are valid. Complex care should never feel generic. When someone has advanced or specialist needs, the people coming into their home need to understand the person, their condition, their routine, and what good care looks like for them. That is why continuity matters so much. Familiar carers are more likely to understand the individual properly, notice changes sooner, and provide support in a way that feels calm, confident and consistent.
Visiting care or live-in care
Complex care does not only fit into one model of support. Some people need visiting care at set times during the day. Others need more intensive support that increases over time. The right routine is completely up to the client. Horizons Homecare provides both visiting care and live-in care services. We are a holistic care provider, and types of care such as complex care, dementia care, personal care and even companionship do not fit neatly into just one style of support. A person may begin with visiting care and later move to Live-in care at home if their needs become more intensive. Others may prefer live-in care from the outset. The care package is shaped around what is safest, most comfortable and most practical for the individual and their family.
FAQs
Common questions
What does complex care mean?+
Complex care means support for someone whose needs require a higher level of skill, training or coordination than general home care alone. This may be because of a long-term illness, disability, multiple conditions, specialist routines, equipment, or delegated tasks.
Who is complex care for?+
It is for adults aged 18+ who need more specialist support at home because of a condition, disability, injury, chronic illness, or combination of needs that affects daily life and requires trained carers.
What kinds of tasks can complex care include?+
It can include a wide range of support depending on the person. Examples may include PEG feeding, catheter care, stoma care, tracheostomy care, ventilation support, hoisting, epilepsy support, medication support, mobility assistance, and other delegated tasks where extra training is required.
Can complex care be provided as visiting care?+
Yes. Complex care can be delivered as visiting care, live-in care, or a package that changes over time. The right routine depends on the individual's needs and preferences.
Can someone with multiple conditions still have care at home?+
Yes. Complex care at home can be particularly helpful for people living with multiple conditions, especially where those needs overlap and require a more personalised, better coordinated approach.
How do you make sure carers have the right skills?+
Where extra skills are needed, Horizons Homecare either trains our trainers to deliver the required specialist skills internally or sources training externally through trusted providers such as the NHS and other training organisations. The client's care team is then trained specifically for that person's needs.
Will we see the same carers?+
Continuity is one of the things Horizons Homecare is known for. We aim to send the same carers where possible so the person receiving support can build trust and familiarity with their care team.
Can complex care increase to live-in care later on?+
Yes. A person may begin with visiting care and later move to Live-in care at home if their needs become more intensive. The care package can adapt over time as circumstances change.
Why Horizons
Why choose Horizons for this service
Continuity of care
Same familiar carers, on time, every time.
CQC regulated
Professionally regulated care.
24/7 support
Emergency on-call outside office hours.
Related services
You might also need
Personal Care at Home
CQC regulated personal care at home delivered with dignity and respect, helping adults with washing, dressing, toileting and personal hygiene.
View service →Medication Assistance and Support at Home
Tailored medication assistance at home for adults aged 18+, from simple reminders through to full administration, with trained carers and accurate records every visit.
View service →Live-in Care at Home
Full-time live-in care at home for adults aged 18+, providing one-to-one support from a small, familiar care team as an alternative to residential care.
View service →Advice centre
Helpful guides
Funding
NHS Continuing Healthcare: A Plain-English Guide for Families
NHS Continuing Healthcare (CHC) provides funding for care if your relative has significant ongoing health needs. This guide explains who qualifies, how assessments work, and what to expect through the process.
FundingLocal Authority Care Assessments: What Families Need to Know
Local authorities assess care needs and financial circumstances to determine what council-funded support your relative can receive. Understanding this process helps you navigate funding and plan ahead.
Real Stories
Client stories and family confidence
Consistent support and clear communication help families feel reassured from the first visit.
Personal care delivered with patience, dignity and respect.
The same carer, every visit - routines that feel like home.
Families feel reassured from the very first meeting.
"Our care team feels like an extension of our family. They are reliable, kind, and always keep us updated."Family member, Lancashire
Ready to discuss complex care at home?
Our team can explain options and recommend a plan based on your situation - with no obligation.