Supporting independence through changing needs

Neurological care

Supporting people to live well with neurological conditions and complex, co-occurring needs.

Enquire about care Find a care home
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Who we support

Our nurse-led care homes support adults living with neurological conditions alongside complex and co-occuring needs relating to:

Neurological conditions

Including:

  • brain injury
  • stroke
  • Huntington’s disease
  • multiple sclerosis
  • Parkinson’s
  • motor neurone disease (MND)
  • functional neurological disorder (FND)
  • cerebral palsy
  • other progressive or long-term neurological conditions.

Cognition, communication, and behaviour

Including changes in memory, communication, insight, judgement, or decision-making, alongside distress, emotional changes, impulsivity, disinhibition, and other behaviours of concern.

Complex nursing and health needs

Including complex medication, epilepsy, respiratory needs, continence, pain, and other nursing needs that may change or increase as a neurological condition progresses.

Mobility and physical health

Including changes in movement, strength, balance, coordination, posture, and mobility, alongside increasing physical dependency and other complex physical health needs.

Eating, drinking, and swallowing

Including dysphagia, nutrition and hydration needs, aspiration risks, weight loss, enteral feeding, and other difficulties with eating and drinking.

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When someone might come to live with us

People come to our care homes at different stages of their care journey, including:

  • moving from their own home as their care needs increase
  • moving from another care setting that can no longer meet their needs
  • stepping down from hospital when they’re ready for discharge but still need 24-hour nursing care
  • needing a new placement following a previous placement breakdown.

Our approach to neurological care

Our approach brings together nursing, clinical, therapeutic, and behavioural expertise, with staffing and care shaped around each person’s needs, abilities, and goals.

24-hour nursing care

Registered Nurses are on site 24 hours a day, providing responsive care, clinical oversight, and early recognition of change.

Needs-led staffing

Staffing and observation levels are shaped around individual needs, risks, and complexity, adapting as a person’s needs change.

Multidisciplinary approach

Nursing, medical, therapeutic, and behavioural expertise works together to provide coordinated care around each person’s needs.

Complex clinical capability

Complex nursing and clinical needs are supported alongside neurological, mental health, and behavioural needs.

Positive behaviour support

Proactive support helps teams understand distress and behaviour, reduce triggers, build trust, and respond safely and consistently.

Meaningful living

Supporting everyday choices, relationships, interests, abilities, independence, and continued involvement in everyday life.

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Supporting behaviours of concern

Changes in behaviour can be a way of communicating distress, discomfort, or an unmet need.

Our teams use positive behaviour support to understand what may be contributing to distress, identify triggers, and adapt care around the person.

Colleagues receive behaviour support training certified by BILD ACT and have access to our Behaviour Support Specialists for additional guidance.

Read about behaviour support

Therapy support

Physiotherapy and occupational therapy can help people maintain or develop their physical function, independence, and involvement in everyday life.

Support can include mobility and balance, posture and positioning, equipment and adaptations, everyday living skills, and meaningful activity.

Read about therapy support
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Communication, eating, and swallowing

Neurological conditions can affect communication, eating, and swallowing as needs change.

Our teams support people with communication and dysphagia needs, including:

  • alternative ways to communicate
  • modified food and fluids
  • enteral feeding
  • nutrition and hydration support.
Read about nutrition support

Find neurological care

Our Referrals Team can help find the right Exemplar Health Care home for someone living with a neurological condition and complex needs.

Make a referral
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FAQs about neurological care

We support adults with neurological conditions including brain injury, stroke, Huntington’s disease, multiple sclerosis, Parkinson’s disease, motor neurone disease, cerebral palsy, and other progressive or long-term neurological conditions. Each referral is individually assessed.

A care home may be appropriate when someone’s needs can no longer be safely met at home or in their current setting, or when they’re ready to leave hospital but still require ongoing nursing and multidisciplinary support.

This might follow a change in their health or abilities, progression of a neurological condition, a hospital admission, or a previous placement breakdown.

A full assessment should consider the person’s individual needs, goals, preferences, and circumstances.

Yes. Our care can adapt as neurological conditions progress and physical, communication, mobility, or nursing needs change.

The support available depends on the individual and the capability of the home.

Some of our homes can support complex respiratory and swallowing needs, including dysphagia, enteral feeding, tracheostomy care, and ventilation.

This is subject to individual assessment and the clinical capability of the home.

Read about respiratory care