Complex Long-Term Care & Tracheostomy / Ventilated Support
Specialist 24/7 care for adults with complex neurological needs, including tracheostomy and ventilator support, in a calm, homelike environment in Surrey.
Long-Term, High-Dependency Care
We care for adults with long-term complex neurological needs who require specialist support including tracheostomy care, ventilator management, PEG feeding, and continuous monitoring.
Our experienced clinical team provides safe, specialist care 24 hours a day, 7 days a week, in a calm, homelike setting that feels nothing like a hospital ward.
We support people with:
- Tracheostomy and ventilator requirements
- Complex neurological conditions requiring 24/7 nursing
- PEG feeding and nutritional support
- High-dependency monitoring and clinical oversight
- Long-term complex care needs
Stability & Dignity
Familiar Faces
Continuity of staff means your loved one builds relationships with their care team. No agency churn, no strangers every day.
Predictable Routine
Calm, consistent daily routines that provide security and emotional reassurance while maintaining clinical excellence.
Quality of Life
This is about living with dignity and comfort, not just medical maintenance. We focus on what makes life meaningful.
More Than Medical Care
We understand that complex long-term care is about the whole person, not just their medical needs. Our approach focuses on:
- Emotional wellbeing and mental health support
- Maintaining personal identity and preferences
- Family involvement and communication
- Respect for individual choices and dignity
- Creating moments of joy and connection
- Peaceful, homelike surroundings
Working with Hospitals & Commissioners
We work closely with hospitals, discharge planners, NHS commissioners, and case managers to ensure safe, smooth transitions for people with complex needs.
Hospital Coordination
Seamless communication with acute care teams to ensure continuity of treatment plans.
Safe Transitions
Careful planning and preparation to make moves as stress-free as possible for everyone involved.
Confidential Process
We never ask families to upload clinical records publicly. All medical information is shared securely between professionals.
For Commissioners & Professionals: We understand the urgency of finding appropriate placements. Our clinical team can discuss complex cases confidentially and provide rapid assessments when needed.
Ready to talk to us?
We know this is emotional and urgent. Leave your details and we'll arrange a confidential call with a senior clinician to discuss your specific needs.
To protect you, please don't type full medical history here. We'll discuss needs privately, one-to-one, with a senior clinician who understands complex neurological care.
Clinical Detail
Specialist complex long-term care with tracheostomy and ventilated support, delivered by expert clinical teams.
Conditions Supported
Progressive Neurological Conditions:
- Huntington's disease with respiratory complications
- Parkinson's disease with advanced symptoms
- Motor neurone disease requiring ventilatory support
- Multiple sclerosis with complex care needs
Complex Medical Needs:
- Tracheostomy care and management
- Ventilator-dependent respiratory support
- PEG feeding and nutritional support
- High-dependency monitoring requirements
Staffing Overview
Specialist Nurses
24/7 registered nurses with tracheostomy and ventilator training, critical care experience
Clinical Specialists
Respiratory therapists, clinical nurse specialists, and medical consultants
Support Team
Trained healthcare assistants, physiotherapists, and family liaison coordinators
Enhanced Staffing: Minimum 1:2 nurse-to-resident ratio for high-dependency care. All staff trained in emergency procedures and equipment management.
Therapy Offer
Respiratory Therapies:
- Respiratory Physiotherapy: Chest clearance, breathing exercises, ventilator weaning
- Tracheostomy Care: Daily management, suctioning, tube changes, emergency protocols
- Ventilator Management: Settings optimization, monitoring, maintenance, backup systems
Rehabilitation Therapies:
- Physiotherapy: Mobility maintenance, positioning, pressure care, strength preservation
- Occupational Therapy: Adaptive equipment, environmental controls, quality of life activities
- Communication Support: Speaking valves, communication aids, swallowing assessment
Facilities
Clinical Equipment
- • Ventilators and backup systems
- • Suction equipment
- • Monitoring devices
- • Emergency resuscitation equipment
Specialist Rooms
- • High-dependency bedrooms
- • Accessible en-suite facilities
- • Ceiling track hoists
- • Specialist beds and mattresses
Safety Systems
- • 24/7 monitoring systems
- • Emergency call systems
- • Backup power supply
- • Infection control facilities
Family Areas
- • Private family rooms
- • Overnight accommodation
- • Kitchen facilities
- • Quiet consultation rooms
Family Support
Education & Training:
- Tracheostomy care training for family members
- Emergency procedures and equipment use
- Understanding condition progression and care needs
Emotional Support:
- Counselling and emotional support services
- Family support groups and peer networks
- 24/7 family helpline for questions and concerns
Frequently Asked Questions
What types of ventilator support do you provide?
We support both invasive and non-invasive ventilation, including full-time ventilator dependence, night-time support, and weaning programmes. Our staff are trained on multiple ventilator types and we maintain backup equipment.
How do you ensure safety for ventilator-dependent residents?
We have 24/7 nursing coverage with specialist training, backup ventilators, emergency power systems, and established protocols with local hospitals. All staff are trained in emergency procedures and equipment troubleshooting.
Can families learn to provide tracheostomy care?
Yes, we provide comprehensive training for family members who want to learn tracheostomy care, suctioning, and emergency procedures. This helps families feel more confident and involved in their loved one's care.
What happens during a medical emergency?
Our nurses are trained to handle most emergencies on-site. We have established protocols with local ambulance services and hospitals, and can provide detailed handovers to ensure continuity of specialist care.
Do you provide end-of-life care?
Yes, we provide compassionate end-of-life care with dignity and comfort. We work with palliative care specialists and support families through difficult decisions about treatment goals and comfort measures.
How do you maintain quality of life for long-term residents?
We focus on meaningful activities, maintaining relationships, and respecting individual preferences. This includes adapted communication methods, environmental controls, music therapy, and facilitating connections with family and friends.
What are the visiting arrangements?
Families can visit anytime, and we encourage involvement in daily care routines. We have overnight accommodation available and can arrange video calls for distant family members to stay connected.
How do you coordinate with hospital specialists?
We maintain close relationships with respiratory consultants, neurologists, and other specialists. Regular reviews ensure care plans remain appropriate, and we facilitate specialist visits or hospital appointments as needed.
Last reviewed: December 2024
Ask About a Placement
Need specialist complex care with tracheostomy or ventilator support? Our clinical team can assess suitability and discuss how we can help.
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