Complex care Nurse in Domiciliary care settings

Complex Care Nurse – Domiciliary Care

Role OverviewA Complex Care Nurse in domiciliary care provides specialist clinical nursing support to adults with long-term, complex, or life-limiting conditions in their own homes. The role focuses on delivering safe, person-centred care while promoting independence, dignity, and quality of life.

Key Responsibilities

Clinical Care

• Deliver high-quality nursing care to clients with complex needs (e.g., neurological conditions, spinal injuries, learning disabilities, respiratory conditions)

• Manage and monitor long-term conditions and complex care packages

• Administer medications, including injections, IV therapies, enteral feeding, and oxygen therapy

• Perform advanced clinical procedures such as:

  • Tracheostomy care and suctioning

  • Ventilation (invasive and non-invasive)

  • PEG/NG feeding

  • Catheter and stoma care

  • Wound and pressure ulcer management

• Recognise and respond to clinical deterioration and emergencies

Care Planning & Assessment

• Conduct holistic assessments and develop personalised care plans

• Review and update risk assessments and care plans regularly

• Ensure care delivery aligns with evidence-based practice and clinical guidelines

• Support hospital discharge planning and admission avoidance

Leadership & Support

• Train, supervise, and assess the competency of healthcare assistants and support workers

• Provide clinical leadership within the client’s home environment

• Offer education and emotional support to clients and families

• Act as a clinical role model, promoting best practice

Multidisciplinary Working

• Work collaboratively with GPs, consultants, therapists, social workers, and community teams

• Attend MDT meetings and case reviews

• Act as an advocate for the client, ensuring their voice and preferences are respected

Governance & Safety

• Maintain accurate, timely clinical documentation

• Ensure compliance with CQC/NMC standards, safeguarding policies, and infection control

• Participate in audits, incident reporting, and quality improvement initiatives

• Maintain professional registration and ongoing CPD

Skills & Competencies

• Strong clinical assessment and decision-making skills

• Excellent communication and interpersonal skills

• Ability to work autonomously in a community setting

• Compassionate, patient-centred approach

• Effective time management and organisational skills

• Confidence in managing complex and unpredictable situations

Qualifications & Experience

• Registered Nurse (Adult / Learning Disabilities) – NMC registered

• Experience in complex care, community nursing, ICU, or specialist settings

• Up-to-date clinical competencies relevant to complex care

• Full UK driving licence (with own Car)

Working Environment

• Client’s homes and community settings

• Flexible working patterns (days, nights, weekends, depending on care package)

• Lone working with on-call and clinical support