Complex Care at Home in Gloucester
Clinical and specialist care delivered safely at home — for conditions that require more than standard domiciliary support, including medication management, mobility support, and condition-specific care.
What We Do
What Complex Care Covers
From medication administration to hoisting, PEG feeding to catheter care — clinical support that keeps your parent safe at home.
Medication Management
Administration and prompting of medication — including controlled drugs where trained.
Moving and Handling
Safe hoisting, transfers, and repositioning using specialist equipment.
Catheter and Stoma Care
Trained support for catheter bags, stoma pouches, and clinical hygiene.
PEG Feeding Support
Percutaneous endoscopic gastrostomy tube care and feeding support at home.
Condition-Specific Care
Specialist support for Parkinson’s, stroke recovery, sensory impairment, and physical disability.
Clinical Liaison
Working with district nurses, GPs, and specialist teams to deliver joined-up care.
Complex Care That Keeps Your Parent Out of Hospital
What Complex Care at Home Means
Complex care is a broad term covering any care need that goes beyond standard personal care and companionship. It includes medication administration, clinical procedures, specialist moving and handling, and condition-specific support for people with physical disabilities, neurological conditions, or chronic illness. In Gloucester, our complex care team supports families across Quedgeley, Longlevens, Hucclecote, Barnwood, Tuffley and Churchdown. Every complex care package is designed by our care coordinator, reviewed by Stacey Cole, and delivered by carers with specific training for your parent’s condition.
Medication Administration and Prompting
Medication errors are one of the leading causes of hospital readmission in older adults. Our carers are trained to administer medication from a blister pack or dosette box, prompt your parent to take their medication at the right times, and record every dose on our OpenPass digital system. For clients who require controlled drug administration, we work with the prescribing GP and pharmacy to ensure safe, documented handling. We also manage medication reviews, flagging any concerns about side effects, missed doses, or interactions to your parent’s GP.
Moving and Handling — Including Hoisting
For clients with limited mobility, safe moving and handling is critical. Our carers are trained in manual handling techniques, hoist operation, stand-aid transfers, slide sheet use, and pressure area repositioning. Every client who requires moving and handling support has a detailed risk assessment and handling plan. Equipment is checked before every use. Two-carer visits are scheduled where the handling plan requires them. We work with NHS occupational therapists and physiotherapists in Gloucester to ensure your parent has the right equipment and the right support.
Catheter, Stoma, and Wound Care
Clinical procedures like catheter emptying, stoma bag changing, and wound dressing support can be safely delivered at home by trained carers. Our carers receive condition-specific training before being assigned to any clinical care package. They follow detailed protocols, maintain strict hygiene standards, and escalate any concerns to the district nursing team. For families in Gloucester, this means your parent does not need to attend hospital or a clinic for routine clinical care. They stay at home, comfortable and supported.
PEG Feeding and Nutritional Support
Percutaneous endoscopic gastrostomy (PEG) feeding requires careful, consistent care. Our trained carers manage feed preparation, tube flushing, site hygiene, and monitoring for complications. We work closely with dietitians and speech and language therapists to ensure your parent’s nutritional plan is followed accurately. PEG care at home avoids the infection risks associated with prolonged hospital stays and gives your parent the comfort and dignity of their own environment.
Parkinson’s, Stroke, and Neurological Support
Neurological conditions like Parkinson’s disease, stroke, and multiple sclerosis require carers who understand the specific challenges — medication timing, mobility fluctuations, communication difficulties, and psychological impact. Our carers in Gloucester receive condition-specific training and are matched to clients based on experience and compatibility. We support people through rehabilitation after stroke, manage the progressive nature of Parkinson’s, and help clients with physical disabilities maintain maximum independence.
Why Families Choose First4Homecare for Complex Care
First4Homecare has delivered complex care across Gloucester and Gloucestershire for nearly a decade. We are CQC registered (1-3177038785), rated Good, with 102 verified reviews scoring 9.5/10 on homecare.co.uk. Our Registered Manager Stacey Cole has 17 years of experience and personally oversees every complex care package. We do not take on clinical work unless we are confident we can deliver it safely. Call 01452 346 905 to discuss your parent’s specific needs.
Complex care is one of our nine home care services in Gloucester. It often works alongside personal care and overnight care for comprehensive support.
Meet the Gloucester Team Behind Your Care
Every family deserves to know who is behind their loved one’s care. Here is the team — from first phone call to daily visits.
Stacey Cole
Registered Manager
17 years in domiciliary care with advanced qualifications in care management, safeguarding, and medication administration. Named on our CQC registration.
Kamila Czerwonka
Care Coordinator
14 years’ experience matching the right carer to your loved one. Builds a small, consistent team around your parent’s preferences and routine.
Faisal Khan
Head of Marketing
Leads marketing strategy, digital presence and community engagement — ensuring services are accessible and well represented locally.
Gus Saggu
Nominated Individual & Director
Registered with CQC as the person responsible for supervising management. Ensures robust governance and compliance across the service.
Our Services
Nine Care Services From One Local Gloucester Team
Every service is managed from our Waterwells Business Park, Quedgeley office and delivered by carers trained to Care Certificate standards.
- Personal Care — Washing, dressing, bathing, and continence support
- Dementia Care — Consistent routines and patient support for memory loss
- Live-In Care — A dedicated carer in your parent’s home around the clock
- Complex Care — PEG feeding, catheter care, stoma maintenance, and hoisting
- Companionship Care — Regular visits for company, conversation, and light support
- Overnight Care — Waking or sleeping night carers for safety and reassurance
- Respite Care — Temporary cover so family carers can take a proper break
- Hospital Discharge Care — Reablement support when your parent leaves hospital
- End-of-Life Care — Comfort, companionship, and dignity in the final weeks and months
Getting Started
Not Sure What Care Your Parent Needs?
You don’t need to have all the answers. Most families call us unsure about what’s needed, what it costs, or how it all works. That’s exactly what we’re here for.
1
Call Us — 10 Minutes Is All It Takes
Speak directly to our Gloucester care team. Tell us what’s worrying you. We’ll listen, explain your options, and answer every question. No pressure, no jargon.
2
We Visit, Listen, and Build a Plan
We carry out a FREE care assessment at home. We’ll work out exactly what’s needed and build a plan that fits your family’s budget and circumstances.
3
Your Parent Gets Their Own Small Team
We match a small, consistent team of named carers to your loved one. When you’re happy with everything, care begins — on your timeline.
No obligation. We’re here to help you decide at your pace.