Complex Care


Dementia is an umbrella term used to describe a range of progressive neurological disorders, that is, conditions affecting the brain. There are many different types of dementia, of which Alzheimer’s disease is the most common. Some people may have a combination of types of dementia. Regardless of which type is diagnosed, each person will experience their dementia in their own unique way.
The four most common types of dementia are:-

  • Alzheimer’s disease
  • Vascular dementia
  • Frontotemporal
  • Dementia with Lewy bodies
    Symptoms of dementia can include:
    Memory problems – People with dementia might have problems retaining new information. They might get lost in previously familiar places and may struggle with names. Relatives might notice the person seems increasingly forgetful, misplacing things regularly. However, we all forget a name or face once in a while and this is nothing to worry about. If it happens on a frequent basis, it’s advisable to visit the GP who can check why this may be happening..
    Cognitive ability, i.e. processing information – People with dementia may have difficulty with time and place, for example, getting up in the middle of the night to go to work, even though they’re retired. Also their concentration could be affected. There may be a difficulty when shopping with choosing the items and then paying for them. For some people with dementia the ability to reason and make decisions may also be affected. Some people with dementia get a sense of restlessness and prefer to keep moving than sit still; others may be reluctant to take part in activities they used to enjoy.Communication – People with dementia may repeat themselves often or have difficulty finding the right words. Reading and writing might become challenging. They might experience changes in personality and behaviour, mood swings, anxiety and depression. People with dementia can lose interest in seeing others socially. Following and engaging in conversation can be difficult and tiring, and so a formerly outgoing person might become quieter and more introverted. Their self-confidence might be affected.
    Dementia can be seen as a combination of one, or all of the above symptoms. If you or someone you know is experiencing one or more of these symptoms, which have been occurring for a while and are progressively getting worse, then please arrange a visit to the GP. There are many other reasons someone might be experiencing confusion or memory problems, so it is best to get them checked out and treated if necessary.

    At Carte Blanche Care we have a wealth of experience in helping clients with Dementia and understand that coming to terms with Dementia in any form can be very challenging. With this in mind we assess every client on an individual basis and design a package of care and support that best suits the individual; we will work with family members to change the package as the client’s conditions develops over time.

    We are happy to come along and assess clients with family members to discuss options, whether that might be initially a small amount of help then gradually building a service to something more comprehensive or just simply to offer suggestions about the way forward and to provide information about services such as the Alzheimer’s Society.

Dementia Statistics

There are currently 800,000 people with dementia in the UK.
There will be over a million people with dementia by 2021.
60,000 deaths a year are directly attributable to dementia.
Two thirds of people with dementia live in the community while one third live in a care home
There are over 17,000 younger people with dementia in the UK.
One third of people over 95 have dementia.
There are 670,000 carers of people with dementia in the UK

Dementia most certainly can be managed at home with the correct amount of information and help, at Carte Blanche Care we firmly support this notion and pride ourselves that our service is second to none


A stroke happens when the blood supply to part of the brain is cut off and the brain cells are damaged or die. About a third of people who have had a stroke make a significant recovery within a month of the event. However most stroke survivors will have long-term problems and sadly in the most severe cases a stroke can be fatal.
A stroke affects people in different ways, depending on what part of the brain that is affected, how widespread the damage is and how healthy the person was before the stroke.

A stroke can damage the following:

• Bodily functions
• Thought processes
• Ability to learn
• Communication skills
At Carte Blanche Care our highly training staff can help with many elements of the recovery process including helping with exercises, memory skills and personal care

Mobility issues

Clients can suffer from mobility issues for many reasons, they may have been born with a physical disability or suffered from an illness or accident that has left them with reduced or no mobility, such as a stroke or a car accident.
There is a great deal of help available for people with mobility problems; from a range of equipment which can be used to help people get around and carry out everyday activities. Many people also benefit from additional help from nurses or carers who can help with things around the house or getting out and about.
The senior staff at Carte Blanche Care have considerable experience with hoists and other lifting equipment such as stand-aids and rotundas to facilitate moving clients from one place to another.


Some examples of conditions or illnesses that we can help with

  • Loss of limbs
  • Stroke affected
  • Multiple Sclerosis
  • Paralysis
  • Arthritis
  • Reduced mobility due to age and frailty
  • Neurological conditions

All of our staff will be trained to use mobile and track hoists and any other equipment that is required to comply with moving and handling regulations. We take client and staff safety very seriously, therefore we complete extensive moving and handling risk assessments prior to undertaking any care package that requires this level of help.



The physical disability that multiple sclerosis (MS) brings with it should not stop you living an independent life, in your own home.

With a Live-in Carer, someone with MS can still get up when they want to, go out when they want to, wash when they want to and live life as they want to.

For more help and advice, please look at


Parkinson’s is a progressive neurological condition. This means that it causes problems in the brain and gets worse over time. 

The number of people diagnosed with Parkinson’s in the UK is about 145,000. That’s around 1 adult in every 350.


Parkinson’s develops when cells in the brain stop working properly and are lost over time. These brain cells produce a chemical called dopamine.

Symptoms start to appear when the brain can’t make enough dopamine to control movement properly.

There are 3 main symptoms – tremor (shaking), slowness of movement and rigidity (muscle stiffness) – but there are many other symptoms too.

More information

Huntington’s disease

Huntington’s disease is an illness caused by a faulty gene in your DNA (the biological ‘instructions’ you inherit which tell your cells what to do). If you have Huntington’s, it affects your body’s nervous system – the network of nerve tissues in the brain and spinal cord that co-ordinate your body’s activities.

Huntington’s can cause changes with movement, learning, thinking and emotions. Once symptoms begin, the disease gradually progresses, so living with it means having to adapt to change, taking one day at a time.

Living with Huntington’s disease can be very challenging. Getting the right information and support is vital and we’re here to help.

Some facts about Huntington’s:

  • Huntington’s is not something you can catch; it is inherited. Every child conceived naturally to a parent who carries the Huntington’s gene has a 50% chance of inheriting it.
  • A genetic test can find out if you have the faulty gene.
  • You can live with the faulty gene for years without symptoms, but if you do have it, at some stage you will develop symptoms. Doctors cannot tell you when this will be.
  • Huntington’s disease affects men and women. It usually develops between the ages of 30 and 50, but can start at any age. If you develop symptoms before the age of 20, this is known as Juvenile Huntington’s disease.

Although there is, as yet, no cure, you can learn to manage symptoms more effectively to improve your quality of life.

More information

Complex Care

Complex Care can be very hard to define, however when we talk about Complex Care at Carte Blanche Care we are referring to clients that have more than one medical condition or illness that leaves them requiring specialist help and support at home.

If we talk about elderly care, then typically a client will have a condition such as Parkinson’s or perhaps continence issues but also be affected by Dementia which means the management of the Parkinson’s condition is made harder by the very nature of Dementia symptoms. This of course is just an example, below is a list of just a few examples of complex care issues that we can help with.

  • Bowel and bladder management such as catheters and colostomy changes
  • PEG and RIG feeding
  • Mobility needs such as hoisting
  • Ventilation Care
  • Advanced dementia conditions such as Lewy Bodies Dementia
  • Suctioning and Tracheostomy care

Palliative Care

End of life conditions are a very sensitive and challenging time for not only the person affected but family members and friends alike; we offer a service that compliments the work of District Nurses and other support networks such as Macmillan Nurses.

We hope that our sensitive approach and eye for detail will enable our clients to remain at home for as long as possible, and indeed ultimately die at home if that is requested where at all possible

Long Term conditions

There are times when home care and support may need to be a more permanent arrangement and be similar to those requirements of complex care. These requirements may include physical disabilities, palliative care, end of life care, mental health support, stroke recovery, specialist care and other long term illnesses.
Our highly trained staff will support with not only the practical help around the home but with personal care and the complex and intensive care needs that may be required.
At Carte Blanche Care we will also work alongside other care providers, health care professionals such as Doctors, Nurses, Social Workers and Physiotherapists involved in the care process.

The range of services that can be offered for this service will include:
• Hoisting
• Peg & Rig feeding
• Blood Sugar Tests
• Suctioning (when trained by a District Nurse)
• Help with physiotherapy exercises
• Catheter care
• Changing of dressings (when trained by a District Nurse)

Sensory Impairment

Sensory impairment is often forgotten about as a medical condition, however it can greatly reduce an individual’s ability to carry out daily functions without the need for care and support.
Sensory impairment can come in many forms but the most common are visual and hearing impairments. All staff at Carte Blanche Care have basic training in sensory awareness, this will also be supplemented by specialist training session sources from such providers as the RNIB and Action on Hearing Loss.