Complex Domiciliary Care
At Seven Care Services, we provide complex domiciliary care for individuals with significant health needs who require skilled support in their own homes.
Our service specialises in delivering delegated healthcare tasks safely and effectively, ensuring people can remain in the community while receiving the level of care they need.
What Are Delegated Healthcare Tasks?
Delegated healthcare tasks are clinical procedures or interventions normally carried out by registered healthcare professionals (such as nurses) but formally delegated to trained support staff.
Administration of medication via enteral feeding tubes (PEG/PEJ).
Catheter and stoma care.
Tracheostomy care and suctioning.
Oxygen therapy and nebuliser use.
Epilepsy management, including rescue medication.
Blood glucose monitoring and insulin administration.
Wound care and pressure area management.
Our Approach
We ensure every delegated task is:
Authorised
by the relevant healthcare professional (e.g., NHS community nurse).
Planned
clearly documented in the individual’s care plan.
Trained
with staff receiving comprehensive, competency-based training before delivering the task.
Supervised
with ongoing clinical oversight to maintain safety and compliance.
Reviewed
regularly assessed to ensure standards are maintained.
Training and Competency
Our Clinical Trainer provides:
Bespoke training tailored to each service user’s needs.
Competency assessments to confirm staff can perform tasks safely.
Refresher training and updates in line with clinical guidelines.
Record-keeping to evidence compliance for commissioners and regulators.
Who We Support
Our complex domiciliary care packages are suitable for individuals with:
Long-term conditions requiring daily clinical interventions.
Neurological conditions such as cerebral palsy, motor neurone disease, or acquired brain injury.
Learning disabilities and/or autism combined with complex physical health needs.
Palliative care requirements.
We work closely with:
Community nurses
Specialist healthcare teams
GPs
Hospital discharge teams
Families and advocates
Governance and Safety
We maintain a robust governance framework that includes:
Clear delegation agreements with NHS teams.
Risk assessments for every clinical task.
Incident reporting and learning processes.
Regular auditing to ensure safe practice.
Alignment with local authority and NHS policies on delegated healthcare.
Why Commissioners Choose Seven Care Services
Skilled in mobilising complex care packages quickly.
Specialist focus on delegated healthcare tasks in the community.
Experienced staff trained and assessed by a dedicated Clinical Trainer.
Proven collaboration with NHS and local authority teams.
Ability to combine health and social care into one seamless package.