Epilepsy
Seizure monitoring, recording and agreed emergency plans.
Photograph to come
XCELL Healthcare carer supporting a young man who uses a powered wheelchair at home in Bolton
Complex Care in Bolton
Complex Care at Home in Bolton
When needs are high or changing, the right team makes all the difference. We provide consistent, specially trained carers who follow a detailed plan agreed with you and your health professionals, so you or your loved one can live safely and well at home.
- Competency-Trained Carers
- Consistent Teams
- CQC Registered
Who Complex Care Supports
We support adults of all ages whose health or disability needs require a carefully planned, skilled approach, including people living with:
Stroke
Rebuilding routines, mobility and communication after a stroke.
Acquired Brain Injury
Structure, cognitive prompts and support with behaviour and mood.
Neurological Conditions
Including multiple sclerosis, Parkinson's and motor neurone disease.
Physical Disability and Spinal Injury
Moving and handling, positioning and personal care.
Long-Term and High Dependency Needs
Multiple conditions needing close, consistent support.
What We Agree Before Care Starts
Safe complex care depends on careful preparation. Before the first visit, we agree:
- 1
A Detailed Assessment
Needs, routines, goals and what matters to the person.
- 2
Risk Assessments
Clear plans for every identified risk, reviewed regularly.
- 3
Clinical Guidance
Written instructions from the relevant health professionals.
- 4
Equipment Checks
Hoists, beds and aids checked and understood by the team.
- 5
Escalation Plan
Exactly who to call, and when, if health changes.
Photograph to come
XCELL carers completing hoist competency training for complex care in Bolton
Discuss a Complex Care Package
Trained for the Person, Not Just the Role
Every complex care package has its own training plan. Carers complete core training, then person-specific training for the tasks in the care plan. Where tasks are delegated by a health professional, carers are trained and signed off as competent before they carry them out alone.
Depending on the care plan, this may include:
- Epilepsy care and emergency medication
- PEG feeding and tube care
- Catheter and stoma care
- Hoist transfers and specialist positioning
- Communication aids and positive behaviour support
A Dedicated, Consistent Team
Small Core Team
The same carers who know the person, their routines and early signs of change.
Flexible Staffing
One-to-one or two carer support where the care plan requires it.
Safe Handovers
Clear notes and handovers between every visit.
Shadow Shifts
New carers work alongside the team before supporting alone.
Photograph to come
XCELL carer supporting an older woman with her stroke recovery exercises at home in Bolton
Working Alongside Your Health Professionals
We work closely with GPs, district and specialist nurses, therapists, social workers and NHS Continuing Healthcare teams. Clinical decisions stay with the health professionals responsible, while our carers follow their guidance day to day and report changes promptly.
From Referral to Care
- 1
Enquiry or Referral
From a family or professional.
- 2
Information Gathering
Reports, care plans and risk assessments.
- 3
Assessment
We meet the person, family and health team.
- 4
Team and Training
Carers selected and trained for the person.
- 5
Planned Start
A safe, coordinated first visit.
- 6
Reviews
Regular reviews with everyone involved.
Funding Complex Care
Complex care may be funded through NHS Continuing Healthcare, a personal health budget, Bolton Council, a joint package or privately. We work with funding teams and can explain the options.
Safe, Accountable Care
All carers complete enhanced DBS, reference and right to work checks, safeguarding and mental capacity training. Care is recorded at every visit, reviewed by our management team and audited regularly.
- Enhanced DBS, reference and right to work checks
- Safeguarding and mental capacity training
- Care recorded at every visit and audited regularly
- Registered with the Care Quality Commission
Check Complex Care Availability
Families can use this form to tell us about their situation. Professionals should use our secure referral form so they can attach documents.
This form is not for emergencies. If someone is seriously unwell or having a medical emergency, call 999.
Step 1 of 2 · About the support
Complex Care Questions
Complex care supports people with high, changing or multiple health and disability needs that require a carefully planned, specially trained team.
Specialist Support, Built Around One Person
Talk to us about a complex care package for yourself, a loved one or someone you support professionally.
Related services
Hospital Discharge Support
A safe, planned return home from hospital.
Personal Care
Washing, dressing, grooming and continence support that protects dignity.
Palliative and End of Life Care
Comfort, dignity and support for the whole family.