CQC Good · Registered for Personal Care & TDDI
Nurse-led complex care at home,
for adults and children.
One of the few homecare providers CQC-registered for the Treatment of Disease, Disorder or Injury (TDDI) — the regulated platform that lets us deliver clinical treatment and delegated healthcare safely in the home, not just personal care. A nurse-led, competency-assured route to place complex adult and children's packages, mobilised responsively and governed clinically.
Safe enough for commissioners · Personal enough for families · Structured for assurance
The assurance you can evidence
No Competence, No Deployment. If we cannot evidence who assessed, delegated, trained and supervised a task — the package does not start.
CQC Good
All five domains
Dual-registered
Personal Care + TDDI
Nurse-led
Clinical governance
Competency-assured
No Competence, No Deployment
Continuity by design
Small, named teams
24/7 support
Operational resilience
The TDDI advantage
Registered to treat — not just to support.
Most homecare providers hold a Personal Care registration only. GHS is also CQC-registered for the Treatment of Disease, Disorder or Injury (TDDI) — the regulated activity that lawfully enables clinical treatment and delegated healthcare in the home, for paediatric and adult complex care alike.
Delegated healthcare, lawfully
TDDI registration places delegated clinical tasks and treatment of long-term physical and mental health conditions within our regulated scope — under named professional supervision.
Purpose-built, not stretched
Where many providers stretch a personal-care registration to its limits, GHS operates complex care from a purpose-built regulatory platform.
Paediatric and adult pathways
One TDDI platform spanning both paediatric (0–18) and adult complex care — including LD, autism, mental health and community palliative care.
Our specialism
Complex care isn't a sideline for GHS. It's the whole business — paediatric and adult.
From enhanced homecare with health-related support through to tracheostomy, ventilation, high-risk epilepsy and paediatric complex care — every package nurse-led, competency-assured and governed clinically.
Over and under 65
For adults
Complex health needs supported safely at home, in the community or a supported-living setting.
- Long-term & physical health conditions
- Learning disability & autism
- Mental health conditions
- Delegated healthcare under nurse oversight
- Palliative & end-of-life care
- Rapid, safe hospital discharge
Children & young people
Paediatric care (0–18)
Nurse-led paediatric complex care at home, at school and in the community.
- Technology-dependent & respiratory care
- Epilepsy & seizure management
- PEG / enteral feeding
- Children's continuing care packages
- 2:1 & waking-night support
- Rapid discharge from hospital to home
Clinical capabilities
The specialties we cover
Respiratory & airway
Tracheostomy, suctioning, ventilation, BiPAP, CPAP, oxygen therapy.
Neurology & epilepsy
Cerebral palsy, acquired brain injury, seizure & rescue-medication management.
Nutrition & hydration
PEG, gastrostomy, jejunostomy, enteral feeding, aspiration-risk management.
Diabetes & endocrine
Blood-glucose monitoring and delegated insulin under nurse oversight.
Continence & stoma
Catheter, bowel and stoma care to a governed clinical standard.
Skin, wounds & pressure
Pressure-area care, wound care and skin-integrity assessment.
Palliative & end-of-life
Comfort-focused care, ReSPECT planning, family and hospice liaison.
LD, autism & mental health
Positive Behaviour Support, trauma-informed care and crisis planning.
The three-tier care model
One model. Three levels of assured capability.
A shared language for matching need to capability, governance and price — so commissioners and families always know exactly what level of care a package requires.
Level 1 · Personal care with a health dimension
Enhanced Homecare
Personal care with a health dimension, delivered by trained care staff. The foundation of safe support at home for people with a stable, health-related need.
- Governance
- Trained care staff with health-related support competencies, overseen by the care coordination team.
- Workforce
- Values-based, enhanced-DBS care workers trained to a task-specific standard.
Representative scope of care
- Medication support & monitoring
- Diabetes prompting & observation (no delegated insulin)
- Catheter & stoma observation
- Nutrition, hydration & pressure-area monitoring
- Dementia, learning-disability, autism & mental-health support
- Palliative personal care
Why GHS
The market doesn't lack providers. It lacks providers engineered for complexity.
GHS operates complex care from a purpose-built regulatory platform — CQC-registered for Personal Care and TDDI — combining the responsiveness of a community provider with the assurance of a clinically governed, nurse-led service.
In practice that means every complex referral is clinically triaged; no high-acuity package starts without a documented assessment; every delegated task carries a named delegating professional, task-specific training, observed practice and signed competency; and every package is supervised, audited and reviewed.
Five principles that govern every package
-
01
Regulated safety
CQC dual-registered for Personal Care and Treatment of Disease, Disorder or Injury — rated Good across all five domains.
-
02
Nurse-led governance
Every package is clinically assessed, planned and supervised by a registered professional. No high-acuity package starts without documented clinical sign-off.
-
03
Competency-assured workforce
Task-specific training, observed practice and signed competency before deployment. No Competence, No Deployment.
-
04
Continuity & stability
Small, named teams built around each person, with rota resilience and 24/7 operational support — continuity by design.
-
05
Commissioner value
Priced as the cost of a safe, sustainable, governed package — measured against the total system cost of a failed one.
The assurance dashboard
Proof, not promises. Governed every month.
Every GHS package feeds a monthly Complex Care Quality Dashboard — the evidence commissioners, families and the regulator can rely on. This is what we measure.
Workforce continuity
01Continuity is designed, measured and defended per package — because in complex care, the workforce is the product.
Care delivered by the named team
Mandatory & enhanced training current
All staff vetted before deployment
Mobilisation
02Responsive, safe starts — referral to assessment to first safe shift, tracked and reported.
Median time to clinical assessment
Median mobilisation window
Structured review of every new package
Safety & clinical governance
03Incidents, safeguarding, medication and care-plan reviews — surfaced monthly with a learning loop.
Signed off before every delegated task
Monthly clinical review completed
Registered oversight maintained
Commissioner value
04The economic case: the cost of a governed package against the total system cost of a failed one.
Safe · Effective · Caring · Responsive · Well-led
Breakdowns prevented by design
Monthly clinical governance meeting
Figures illustrate the structure of the monthly quality dashboard and what GHS measures per package; they are representative of the governance model rather than a published audit result.
Three doors, one standard of assurance
Find the right path for you
ICBs · LAs · CHC · Case managers
For Commissioners
A regulated, nurse-led partner for complex packages — auditable governance, tiered cost-of-safety pricing, and responsive, safe mobilisation.
View the offerChildren 0–18 & adults
For Families
Consistent, trained teams built around your loved one — safe, personal care at home, with clear communication and a promise to act promptly.
How we support youThe GHS Clinical Academy
For Clinicians
Join a provider where the workforce is the product — trained, assessed, supervised and supported through the GHS Clinical Academy.
Careers & trainingGovernance you can inspect
A living policy suite behind every package
Complex care is only as safe as the governance beneath it. GHS runs a controlled library of 279+ policies and SOPs across 21 registers — every one mapped to the CQC fundamental standards.
Corporate
Safeguarding Children & Child Protection
Consent
Referral
Delegated Healthcare
Medicines Management
Respiratory & Airway Care
Neurology
Diabetes & Endocrine Support
Registers A–P · 279+ controlled documents
The GHS Clinical Academy
In complex care, the workforce is the product.
The Clinical Academy is how GHS industrialises competence — a centre of excellence for clinical education and competency assurance, ensuring every staff member is trained, assessed, supervised and supported before they ever step into a home.
The Staff Quality Wheel · six controls
Values-based recruitment
Recruited for the right values before skills.
Enhanced vetting
Enhanced DBS, right-to-work, full history & referencing.
Task-specific training
Trained to each clinical task before deployment.
Observed competency
Assessed in practice and signed off — No Competence, No Deployment.
Clinical supervision
Ongoing registered-professional supervision & support.
Audit & review
Continuous audit feeding the monthly quality dashboard.
Care, Support, Housing and Community Safety
