Complex care at home, delivered by a nurse-led team.

Specialist care for people with spinal injuries, brain injuries, neurological conditions and other high-dependency needs. From a few hours of support to 24-hour care, our nurse-led team helps you receive the care you need safely, in your own home.

CQC Regulated
Rated 9.9 on homecare.co.uk
Nurse-Led Clinical Oversight
Providing care across England
Nurse-Led Clinical Oversight
Providing care across England

When care is complex, experience matters.

Some people need much more than help with everyday tasks. They may need support with a tracheostomy, ventilator, PEG feeding, complex medication, bowel or bladder management, seizures, mobility or the effects of an acquired brain or spinal injury.

This is the care Oria specialises in.

Our nurse-led team builds each package around the individual. Carers are trained and assessed for the specific clinical needs of the person they support, with ongoing oversight from our clinical team once care begins.

The result is specialist care at home, without losing sight of the person, their routines, their family and the life they want to live.

Conditions and needs we work with

Brain, spinal and neurological care

Acquired and traumatic brain injury · Spinal cord injury · Stroke rehabilitation · Multiple sclerosis · MND · Parkinson’s · Huntington’s · Cerebral palsy

Complex clinical care

Tracheostomy care · Ventilator support · PEG and enteral feeding · Catheter and stoma care · Bowel management · Complex medication · Seizure management

Daily living and ongoing support

Epilepsy management · Moving and handling · Specialist equipment · Behavioural support · Rehabilitation · Palliative and end-of-life care

What nurse-led care means at Oria

Nurse-led shouldn’t just mean there is a nurse somewhere in the organisation. At Oria, our clinical team is directly involved in how your care is assessed, planned and supported.

  • Your care plan is clinically reviewed and built around your individual needs.

  • Your carers are trained and competency-assessed for the clinical support they will provide before working independently.

  • A nurse oversees your package and remains involved once care begins.

  • Medication, emergency and escalation plans are personalised to you rather than taken from a standard template.

  • Your care is reviewed as your needs change, not simply once a year.

  • You and your family have a named team to contact when you need advice or something isn’t right.

We also work closely with case managers, NHS teams, therapists, deputies, solicitors and other professionals involved in your care, so everyone is working toward the same plan.

Thinking about changing care providers?

Changing provider can feel daunting, particularly when someone relies on care every day. You may be worried about disrupting familiar routines, losing carers you trust or creating a gap in support.

Our job is to make the transition carefully and safely.

We can work alongside your existing provider while we assess your needs, review the current care plan and prepare the new team.

1

We understand what is working, and what isn’t.

We speak with you, your family and the professionals involved while your existing care continues.
2

Clinical review and handover

Our clinical team reviews the current care plan, risks, routines and interventions so important details aren't lost during the transition.
3

We build the right care team

Carers are recruited or selected around your needs, personality and routines, then trained and competency-assessed where required.
4

A planned transition

Where appropriate, we arrange introductions, shadow shifts or an overlap so the new team becomes familiar before taking over.
5

You know who to call

You’ll have named people at Oria who know your package and remain involved once the transition is complete.

We’ll give you a realistic start date from the outset. Complex care takes careful planning, and we would rather get it right than rush the transition.

From first call to care in place

1

Talk to someone who understands complex care

Tell us what is happening and what support you need. You’ll speak to someone from our team who understands complex care and can explain whether Oria is likely to be the right provider.
2

Free clinical assessment

A senior member of our team will meet you and, where appropriate, your family and existing professionals. We’ll understand your health needs, routines, risks, goals and the clinical support required.
After the assessment, we’ll explain the care we recommend, how we would build your team and what it will cost.
3

We build your team and prepare your care

We recruit or select carers around your needs, complete the required training and competency assessments, and introduce the team before care begins wherever possible.
Once care is in place, your clinical and care management team stays involved.

How complex care is funded

Complex care at home can be funded in several different ways. If you’re unsure what funding may be available, we can help you understand the options.

  • NHS Continuing Healthcare (CHC)

  • Personal Health Budgets

  • Local authority funding, where applicable

  • Compensation or deputy-managed funds following a serious injury or clinical negligence claim

  • Private funding

  • A combination of funding sources

You don't need to understand the funding system before you call us. Tell us your situation and we'll explain what we can, including where you may need advice from the NHS, a case manager or another professional.

Questions families often ask us

Can you take over care from another provider?

Yes. We regularly support people who want to change care providers. We plan the transition carefully with you and, where appropriate, your current provider and wider professional team, with the aim of maintaining continuity throughout.

Can you work alongside an existing case manager?

Yes. We regularly work alongside independent case managers, NHS teams, therapists, deputies and other professionals. We see complex care as a team effort and will work within the wider plan surrounding you.

How quickly can a complex package start?

It depends on the level of care required. Some packages can begin relatively quickly, while highly complex care may require recruitment, specialist training and competency assessments before it is safe to start. After assessment, we’ll give you a realistic mobilisation plan and keep you updated throughout.

Do you provide hourly visits as well as live-in?

Yes. We provide support ranging from scheduled visits and longer daytime shifts through to waking nights, 24-hour support and live-in care.

Who supervises the carers clinically?

A registered nurse provides clinical oversight for complex care packages and supports the carers delivering your care. Your needs are reviewed regularly, with clear escalation routes if anything changes or there is a clinical concern.

What happens in an emergency?

Every complex care package has a clear emergency and escalation plan. Your carers know what to do, who to contact and when emergency services or clinical support are needed. You and your family will also know how concerns are escalated and who to contact at Oria.

Speak to a real person today.

Leave your details below and we'll call you back within one hour during office hours (8am to 6pm), or message us on WhatsApp.

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