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CQC Registered • Nurse-Led • London

Complex Care at Home in London

Nurse-led support for people with changing, advanced or specialist care needs, so a loved one can stay safely at home when the situation becomes more complicated.

CQC Registered
Nurse-Led
DBS-Checked Carers
24/7 Support
Complex Care at Home

When Care Needs Become More Complicated

Complex care is for situations that go beyond straightforward support at home: multiple health conditions, changing needs, clinical risks, or a recent crisis to manage. Families come to us anxious, short of time and often comparing several providers at once. They are not simply buying hours of care. They want reassurance that a vulnerable relative will be genuinely safe at home.

As a CQC-registered, nurse-led provider, Kome Care was built for exactly these situations. Every package is assessed, planned and overseen by a registered nurse, so clinical risk is actively managed rather than just monitored. The trigger might be a hospital discharge, a dementia that is advancing, overnight falls, a complicated medication routine, or a family carer reaching the end of what they can manage. In most cases we can put safe, nurse-led care in place quickly.

Who This Is For

  • Families facing dementia progression, with agitation, wandering or night-time distress
  • A loved one coming home after hospital discharge, a fall, surgery or serious illness
  • Complex or changing medication routines that need clinical oversight
  • Overnight risk, such as poor sleep, wandering, or anxiety about someone being alone
  • Palliative, cancer or end-of-life support to remain comfortably at home
  • Learning disability or autism support with clinical awareness and safe routines
  • Family carers close to burnout who need dependable, professional support
  • Anyone whose needs are changing quickly and may become harder to manage

What "Nurse-Led" Means in Practice

At Kome Care, "nurse-led" describes how every complex care package is built and run. Here is what it means day to day.

Nurse-Led Assessment

A registered nurse assesses needs, the home environment and clinical risks before care starts.

Care Planning

A personalised, clinically-informed care plan is written, signed off and shared with the family.

Risk Review & Escalation

Falls, skin, nutrition and medication risks are reviewed, with clear escalation pathways in place.

Carer Matching

Carers are matched for the condition and the person, then trained on that specific care plan.

Family Updates

You stay informed with regular updates and a named point of contact who knows the case.

Ongoing Oversight

The plan is reviewed as needs change, with a nurse overseeing quality and safety throughout.

Speak to a nurse-led care adviser today

Free, confidential conversation, no obligation. We respond within 2 hours, 7 days a week.

02080 755966

Complex Situations We Support

We bring specialist, nurse-led capability to the situations families find most worrying. Each one links to a dedicated service page where you can read more.

Hospital Discharge

Rapid, nurse-led care planning for a safe return home, often within 24–48 hours.

Dementia Support

Calm, consistent dementia care with nurse-led oversight for changing behaviour and risk.

Overnight Care

Sleep-in or waking-night support when day-time visits are no longer enough.

Live-in Care

A dedicated carer in the home around the clock, and a genuine alternative to a care home.

Complex Medication

Clinically-governed medication support, including high-dependency and changing regimes.

Palliative & Cancer Support

Compassionate, coordinated support around the family and changing needs.

LD & Autism Support

Person-centred support with clinical awareness and safe, consistent routines.

Carer Breakdown / Respite

Dependable support when a family carer is exhausted or needs to step back.

What Happens Next

1
Same-Day Conversation

Call or enquire online. Where possible we speak with you the same day, usually within 2 hours.

2
Nurse-Led Review

A registered nurse reviews the situation, the needs and the risks, at no cost and with no obligation.

3
Clear Care Options

We set out realistic options and clear next steps, including funding routes.

4
Care Begins & We Follow Up

A matched carer starts under nurse-led oversight, and we follow up as needs change.

Evidence & Reassurance

  • CQC registered. Kome Care Community is the CQC-registered service operated by Kome Care Ltd (Provider ID 1-15308134496)
  • Nurse-led clinical governance. Every care plan is assessed and overseen by a registered nurse
  • Safeguarding and trained carers. Condition-specific training and supervision
  • Enhanced DBS checks. Every carer is vetted before working with clients
  • 24/7 support. Out-of-hours support for clients and families, 365 days a year
  • London coverage. We support families across London and the surrounding boroughs

In a medical emergency always call 999. A home care enquiry is not a route for urgent medical help.

Frequently Asked Questions

Complex care covers situations that go beyond straightforward support: multiple health conditions, changing needs, clinical risks such as complex medication or wound care, or a recent crisis like a hospital discharge. At Kome Care it is assessed, planned and overseen by a registered nurse, so clinical risk is actively managed.
It means a registered nurse assesses needs and risks before care starts, writes and signs off the care plan, matches and trains carers for the specific situation, reviews risks with clear escalation pathways, keeps the family updated, and oversees quality as needs change. It is far more than occasional supervision.
Where possible we speak with you the same day and respond within 2 hours. For urgent situations such as a hospital discharge we can often put nurse-led care in place within 24–48 hours, subject to the complexity of need.
Yes. Our nurse-led team supports complex and changing medication regimes, wound care, catheter and stoma care, PEG feeding, pressure care and other high-dependency needs, delivered under clinical protocols with nurse oversight.
Kome Care Community is the CQC-registered home care service operated by Kome Care Ltd (Provider ID 1-15308134496). We are registered with and regulated by the Care Quality Commission. We will update our public information when our first inspection rating is published.
We provide complex and specialist care at home across London and surrounding boroughs. Contact us with your location and we will confirm availability.
Call 02080 755966 Free assessment