Degenerative conditions
Providing Exceptional Care

Who we support

When a condition is progressive, steadiness matters. Our calm and outstanding clinically confident support helps people live well at home with dignity—protecting comfort, independence, and choice as needs change over time. We work alongside you and your clinical team to keep life familiar, meaningful, and safe.

  • Parkinson’s and atypical parkinsonism (MSA, PSP)
  • Multiple Sclerosis (MS)
  • Motor Neurone Disease / ALS
  • Huntington’s disease
  • Muscular dystrophies and other neuromuscular conditions
  • Cerebellar ataxias and other progressive neurological conditions
  • Mixed/overlapping needs (mobility, speech/swallow, breathing, cognition, fatigue)

What we do (practical, respectful, person-centred)

  • Personal care with dignity
    Unhurried help with washing, dressing, continence, oral care, skincare and safe mobility—always protecting privacy and choice.
  • Medication & symptom support
    Timely prompts or administration (as agreed), MAR charts, and careful observation of effectiveness/side-effects—coordinated with neurology, GP and community teams.
  • Mobility, transfers & falls awareness
    Confident use of aids, hoists/slings, slide boards; pacing strategies; home safety checks; pressure-relief routines and posture support.
  • Fatigue, rigidity, spasticity & pain
    Energy conservation plans, gentle stretches, heat/cold as advised, positioning for comfort, and swift escalation if patterns change.
  • Speech, communication & cognition
    Clear, patient conversation, cueing, visual supports, writing/tech aids, AAC where advised by SLT; memory and planning tools that reduce stress.
  • Eating, drinking & swallow care
    Calm mealtimes, texture modification (IDDSI) as required, PEG/NG feed support (competency-assured), hydration prompts, and monitoring for weight or swallow changes.
  • Breathing & airway comfort
    Positioning, assisted cough and chest physio carry-over, nebulisers/oxygen per plan, tracheostomy/ventilation support where assessed and signed off.
  • Bladder & bowel routines
    Respectful continence support, catheter/stoma care where trained and agreed, scheduled bowel care to maintain comfort and dignity.
  • Meaningful days
    Routines that include hobbies, music, nature, gentle exercise, appointments and community life—so each day still feels like “your day.”
  • Household help that actually helps
    Meal prep, laundry, light housekeeping and errands to keep home comfortable and reduce effort and falls risk.
  • Family support & real respite
    Practical coaching, clear updates, and flexible break cover—so loved ones can rest without worry.

Clinical note: Advanced tasks (e.g., PEG management, tracheostomy care, rescue meds, complex wound/pressure care) are delivered only where assessed, included in the care plan, and our staff are competency-signed. We coordinate closely with your clinicians and care teams.

Flexible ways to receive care

Planning for today—and tomorrow

  • Step-up/step-down support as needs change (e.g., infection, relapse, or progression).
  • Advance care planning conversations supported and recorded in plain language.
  • Equipment & home adaptations arranged with OT/Physio guidance (seating, cushions, rails, beds, hoists, communication aids).
  • Joined-up reviews with neurology, community teams and therapists to keep care responsive.
  • 1:1, 2:1 or 3:1 staffing where risk assessments indicate
  • Daytime cover to pace activity and rest without rushing
  • Overnights (sleeping or waking) for turns, comfort and reassurance
  • Live-in care for consistent 24/7 support
  • Rapid step-up after hospital discharge or during step-change in needs

How it works

a kind, no-pressure, nurse-led assessment of goals, routines, risks and “what a good day looks like.”

clear, holistic plans for comfort, mobility, communication, nutrition, sleep and community life.

staff chosen for skills, temperament, language and cultural fit.

gentle introductions, equipment checks, coordination with your clinical team.

regular check-ins and swift adjustments as needs evolve.
Safeguarding
Providing Exceptional Care

Safety & quality (your peace of mind)

  • Nurse-led governance and 24/7 on-call clinical advice

  • Training & competency sign-off for specialist tasks

  • Robust protocols –infection control, moving & handling, safeguarding, incident learning
  • Continuity & reliability – consistent team, punctual visits, confirmed cover if someone is unwell
  • Transparent communication – named care lead, easy contact, concise daily notes

Funding & practicalities (UK)

We can work with private funding, NHS Continuing Healthcare (including Fast Track where appropriate), Personal Health Budgets, Direct Payments, and insurer/medico-legal funding. We’ll explain options and provide clear, upfront pricing.