Specialized Care

Higher-needs care, with round-the-clock options

For feeding tubes, catheters, multiple conditions, or advanced mobility needs: caregivers trained specifically for higher-acuity support.

A caregiver in navy scrubs gently helping an elderly woman with a cardigan as she sits in an armchair in a living room

When general support isn't enough

Some families need more than a few hours of help. Several health conditions at once, limited mobility, or equipment like feeding tubes and catheters all raise the stakes.

We match caregivers trained for higher-acuity support, and a coordinator builds and manages the schedule, including backup, so there are no gaps. Round-the-clock supervision is available when that is what's needed.

When care needs go beyond general support

  • Several health conditions are being managed at the same time
  • Equipment like a feeding tube or catheter is part of daily life
  • Transfers need two people, or a lift, or very careful handling
  • Supervision is needed overnight or around the clock
  • Family has been covering gaps and the schedule is no longer sustainable

What complex needs care can include

  • Personal care for people with advanced mobility needs
  • Safe transfers and repositioning
  • Support with feeding tube and catheter routines, within the caregiver's scope
  • Long shifts, overnight, live-in, or round-the-clock coverage
  • Close monitoring and fast reporting of changes
  • A coordinator managing the schedule and backup

Our caregivers work within their personal support role. Your loved one's doctor and home care health professionals stay in charge of medical care and decide what is safe to delegate.

Looking for steady everyday help with a long-term condition like COPD, heart failure, or diabetes? See chronic illness care →

How We Work

Managed by our care team, start to finish

  1. Call or request supportTell us what's going on. No forms, no pressure, we listen first.
  2. In-home care assessmentA care coordinator visits to understand daily routines, medical needs, and personality fit.
  3. We match your caregiverWe hand-pick from our vetted roster of PSWs for skills, availability, and, just as importantly, personality.
  4. Care begins, and we stay closeMost families are matched within 24 hours. Your coordinator checks in regularly, this isn't "set and forget."
  • A care coordinator who knows your family and stays reachable
  • Caregivers vetted with a vulnerable-sector police check, interview, references, and a skills assessment
  • Matched to your loved one, not just assigned from a roster
  • Backup coverage arranged by us when a caregiver is unavailable
  • A free in-home assessment and a clear, itemized quote
Questions

What families ask about complex needs care

Yes. Round-the-clock supervision is available, either through shifts or live-in care, depending on what your loved one needs.

Your loved one's doctor and health team. We build the care plan around their guidance and match a caregiver with the right experience.

Your coordinator arranges backup, so care continues. You don't have to find a replacement yourself.

Yes, with your OK. We can send the doctor or health team a short summary from the care notes: what the caregiver noticed and when it started, what was done (for example, a cream put on as directed) and how it went. It reports what we saw, never a diagnosis. Medical decisions stay with them.

Available across Toronto and the GTA, including Thornhill, North York, Forest Hill, Midtown Toronto, Richmond Hill, Vaughan.

See all our care services → More common questions → Conditions we support → Areas we serve →

Talk to a coordinator about complex needs care

Tell us what's going on. A care coordinator will call you back within one business day.

Request PSW Support
Call (647) 847-CARE