Complex Care Supports Services in Adelaide
Care Assure provides NDIS complex care and high-intensity supports across Adelaide, including ventilation support, tracheostomy care, enteral feeding, and palliative care. Every care plan is written and overseen by a registered nurse. NDIS registered provider.
NDIS Complex Care in Adelaide
Care Assure provides complex care support to NDIS participants in Adelaide. These are the supports the NDIS classifies as High Intensity Daily Personal Activities: clinical tasks where a mistake carries serious risk, and where support workers must be trained and assessed against the NDIS High Intensity Support Skills Descriptors before they deliver care.
Care Assure delivers these supports in our Supported Independent Living homes, in Specialist Disability Accommodation, and in participants' own homes across Adelaide. Every complex care plan is written by a registered nurse, who assesses support worker competency and provides ongoing clinical oversight. This is not an optional extra. It is what the NDIS Practice Standards require, and it is how we work.
Our Complex Care Services
Our trained support workers and clinical teams provide assistance with a range of complex care requirements. Each support is delivered under a care plan authored by a registered nurse, in line with the NDIS High Intensity Support Skills Descriptors.
Enteral Feeding Support
PEG and PEJ feeding, tube care, pump operation, and monitoring for safe nutrition delivery.
Severe Dysphagia Support
Safe mealtime support following speech pathology plans and IDDSI swallowing guidelines.
Mealtime Support
Texture-modified meals, safe positioning, and aspiration monitoring during meals.
Tracheostomy Care
Tracheostomy support including suctioning, stoma care, tube checks, and emergency response.
Ventilation Support
Ventilation assistance with circuit checks, alarm monitoring, and escalation when required.
Catheter Care
Urinary catheter care, hygiene support, drainage management, and infection monitoring.
Stoma Care
Stoma appliance changes, skin care, hygiene support, and routine output monitoring.
Subcutaneous Injections
Authorised injections delivered safely under nurse supervision with correct sharps disposal.
Diabetes Management
Blood glucose monitoring, insulin support, and recognition of diabetic emergencies.
Epilepsy & Midazolam
Seizure monitoring, documentation, and emergency medication under approved care plans.
Palliative Care
Compassionate end-of-life support delivered with healthcare teams and participant families.
What Are NDIS High Intensity Daily Personal Activities?
The difference between standard support and high-intensity support is not the number of hours. It is the level of clinical risk and the skill required to manage it safely.
The NDIS Quality and Safeguards Commission publishes nine High Intensity Support Skills Descriptors: complex bowel care, enteral feeding support, severe dysphagia support, tracheostomy support, ventilator support, urinary catheter support, subcutaneous injections, complex wound care, and epilepsy and seizure support. The current descriptors took effect on 1 February 2026.
A provider delivering any of these must be registered against the High Intensity Daily Personal Activities module of the NDIS Practice Standards. Support workers must be trained and competency-assessed by a qualified health practitioner before they deliver the support, not after. The NDIS Commission recommends that competency be reassessed annually, when a participant's needs change, and when a worker returns to an activity after three months away.
Ask any provider you are considering how they meet this standard. If the answer is vague, keep looking.
How NDIS Complex Care Is Funded
High intensity supports are funded under Core Supports in your NDIS plan. The funding level reflects the number of health support areas you need assistance with and the amount of registered nurse oversight required.
Standard and Low-Level High Intensity
Applies when a participant needs support in up to two health support areas. A trained support worker delivers the care under a registered nurse's care plan, with periodic clinical review. Typical for participants managing diabetes and catheter care, or epilepsy alone.
High-Level Complex Care
Applies when a participant needs assistance across three or more health support areas, or requires supports carrying the highest clinical risk, such as ventilation and tracheostomy. Support workers are trained to a higher standard with ongoing registered nurse supervision. Your NDIS plan funds a higher support worker level to reflect this.
Your support coordinator or plan manager can confirm which level is in your plan. If your assessed needs have changed, a plan review can adjust them. Care Assure can provide clinical documentation to support that review.
Where Care Assure Delivers Complex Care
Most Adelaide complex care providers visit a participant in someone else's home. Care Assure delivers complex care across three settings, one of which is unique.
- In our Supported Independent Living homes: Complex care is delivered by a support team already rostered in that home 24 hours a day, overseen by the registered nurse who writes the care plans for every resident. There is no handover between a housing provider and a nursing provider, as they are the same provider.
- In Care Casa SDA housing: Care Casa, our SDA provider partner, operates High Physical Support properties with the infrastructure complex care participants rely on: ceiling hoists, backup power for life-sustaining equipment, and assistive technology. Care Assure delivers the clinical support inside them.
- In your own home: Care Assure support workers deliver complex care in participants' private homes across Adelaide, under the same registered nurse governance.
For a participant on ventilation, the difference matters. Backup power is not a feature on a brochure. It is the reason the equipment keeps running.
Who Can Access NDIS Complex Care in Adelaide?
Complex care is available to NDIS participants of any age whose plan includes high-intensity supports under Core Supports. You may need complex care if:
- You rely on ventilation, a tracheostomy, or both
- You are fed enterally through a PEG or PEJ tube
- You have severe dysphagia and need mealtime support to eat safely
- You require catheter care, stoma care, or both
- You have epilepsy requiring emergency medication such as midazolam
- You need subcutaneous injections or daily diabetes management
- You are receiving palliative care and want to remain in your home or supported accommodation
If high-intensity supports are not currently in your NDIS plan, you will need medical documentation from a specialist or GP. Your support coordinator can request a plan review. Care Assure's registered nurse can provide clinical documentation to support that request.
How to Access Complex Care with Care Assure
Confirm your NDIS plan includes high-intensity Core Supports. Your plan manager or support coordinator can verify your funding.
Call (08) 7071 9276 to discuss your support needs. We'll assess whether we can safely deliver the care you require.
Our registered nurse reviews your needs, prepares a personalised care plan, and trains support workers before services begin.
Your care team receives ongoing clinical supervision, with regular care plan reviews and annual competency reassessments.
What NDIS Participants Say About Care Assure
Care Assure’s Supported Independent Living program has given me a newfound sense of independence. Their team is so supportive and accommodating, ensuring my needs are met every step of the way. I finally feel empowered to lead my life on my terms!
Why Choose Care Assure for Complex Care in Adelaide?
- Registered nurse authors every complex care plan: Not a visiting clinician who signs off remotely. Our RN writes the plan, assesses each support worker's competency for that specific participant, and provides ongoing supervision.
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- Ventilation and tracheostomy support: Two of the highest-risk supports are the NDIS funds. Most Adelaide providers do not offer them. We do, and our workers are trained against both skills descriptors where a participant needs both.
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- Palliative care: We support participants at the end of life, working alongside palliative teams and families. Very few NDIS providers in Adelaide offer this.
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- Complex care where you already live: If you live in a Care Assure SIL home, or in a Care Casa SDA home where we deliver your daily support, your complex care comes from the same team and the same registered nurse. No new provider to introduce, no clinical handover, no gap between the people who support you daily and the people managing your clinical needs.
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- High Physical Support infrastructure: Ceiling hoists, backup power for life-sustaining equipment and assistive technology in Care Casa High Physical Support properties, where our clinical team delivers your care.
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- Trained before, not after: Support workers are competency-assessed for each high-intensity support before they deliver it, and reassessed annually or whenever a participant's needs change.
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- NDIS registered since 2019: Champion Awards 2025 Winner. Citizen of the Year 2025. Governor's Multicultural Awards 2022.
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Frequently Asked Questions (FAQs)
- What are NDIS high-intensity daily personal activities?
High Intensity Daily Personal Activities (HIDPA) are NDIS supports involving a higher clinical risk. The NDIS Commission publishes nine skills descriptors: complex bowel care, enteral feeding support, severe dysphagia support, tracheostomy support, ventilator support, urinary catheter support, subcutaneous injections, complex wound care, and epilepsy and seizure support. The current descriptors took effect on 1 February 2026. Only NDIS-registered providers certified against the HIDPA module can deliver them.
- What complex care services does Care Assure provide in Adelaide?
Care Assure provides enteral feeding support, severe dysphagia support, advanced mealtime management, tracheostomy care, ventilation support, catheter care, stoma care, subcutaneous injections, diabetes management, epilepsy and midazolam support, and palliative care. All are delivered under a care plan written by a registered nurse.
- Does Care Assure provide ventilation support?
Yes. Care Assure supports participants who rely on ventilation under a support plan overseen by a health practitioner. Where a participant has both ventilation and a tracheostomy, our support workers are trained in the NDIS skills descriptors for both. Care Casa High Physical Support homes include backup power for life-sustaining equipment, and we deliver clinical support in them. Call (08) 7071 9276 to discuss a placement.
- Who trains and supervises your support workers?
A registered nurse writes each participant's care plan, assesses the support worker's competency for the specific supports the participant needs, and provides ongoing clinical supervision. Workers are trained and assessed before they deliver high-intensity support, not after. Competency is reassessed at least annually, when a participant's needs change, and when a worker returns to an activity after three or more months.
- How is complex care funded under the NDIS?
High intensity supports are funded under Core Supports. Your funding level reflects the number of health support areas you need assistance with and the level of registered nurse oversight required. A participant who needs support across four or more areas is funded at a higher support worker level than one who needs help in a single area. Your plan manager can confirm your allocation.
- Can I receive complex care in my own home?
Yes. Care Assure delivers complex care in participants' private homes across Adelaide, in our Supported Independent Living homes, and in Care Casa SDA housing. The same registered nurse governance applies in all three settings.
- Does Care Assure provide palliative care?
Yes. Care Assure supports participants at the end of life, working alongside palliative care teams and the participant's family. This can be delivered in a participant's own home or in Care Assure-supported accommodation. Very few NDIS providers in Adelaide offer palliative care. Call our clinical team to discuss.
- What if high-intensity supports are not in my NDIS plan?
You will need medical documentation from a specialist or GP setting out your diagnosis and support needs. Your support coordinator or LAC can then request a plan review. Care Assure's registered nurse can provide clinical documentation supporting that request. Contact us before your plan review, not after.
