Catheter & stoma care at home
Living with a catheter or a stoma does not mean a hospital stay. Our trained carers handle the daily care (emptying and changing bags, keeping things clean, watching output and caring for the skin) with dignity, under a nurse-led plan across Croydon and Bromley. We are CQC-registered for clinical care and rated “Good”.
Being discharged this week? Call us any time, day or night. We’ll be honest about what we can put in place, and how quickly.
- CQC-registered for clinical care
- Rated “Good”, all 5 areas
- Nurse-led by Roseline Fazal Masih
- Competency-checked per procedure
- Read our CQC report(opens in a new tab)
What it looks like at home
- Emptying and changing drainage, leg and night bags hygienically
- Keeping the catheter (the thin tube that drains the bladder) and the area around it clean, and checking it drains freely
- Watching urine output and colour, and looking for signs of a urine infection (a CAUTI, a catheter-associated urinary tract infection)
- Emptying and changing the stoma pouch and caring for the skin around the stoma (the opening on the tummy)
- Checking the stoma’s output and appearance at each visit
- Managing leaks discreetly and encouraging fluids as the plan allows
Who does what
Your care is planned and overseen by our Registered Manager, a registered nurse, and delivered by carers we employ directly. They carry out the daily catheter and stoma care. Inserting or changing a catheter is led by the district nurse unless a carer has been specifically competency-checked for it, and stoma reviews stay with the stoma nurse. No carer takes on your care until they are trained and signed off for your specific routine.
If something goes wrong
If no urine is draining, the catheter is bypassing or seems blocked, the stoma stops working or pulls in, or there are signs of infection, carers follow the written plan: they act on the steps they have been signed off on and call the district nurse, GP or 111 without delay, and 999 if your relative becomes acutely unwell. The plan names who to call, and when.
Led by our Registered Manager
Every clinical package is led by Roseline Fazal Masih, our CQC Registered Manager and a registered nurse. Care is planned alongside the NHS teams already involved, and no carer takes on a clinical task until they have been trained and competency-checked for that exact task, for that exact person.
- CQC-registered for “Treatment of disease, disorder or injury”, rated “Good” in all five areas
- Competency checks per procedure, per person: never “trained once, assumed forever”
- One plan shared with your district nurses, GP and specialists
Worried about cost? Many complex packages are funded in full
NHS Continuing Healthcare can fund complex care at home in full, and it is not means-tested. Our funding guide explains the routes in plain English, and we can help with the application.
See funding optionsHow nurse-led care begins
- 1
Free home visit
We meet you (and, with your permission, the NHS team involved) to understand the clinical picture properly.
- 2
A nurse-led care plan
Our Registered Manager builds the plan (procedures, routines, escalation steps), shared with everyone who needs it.
- 3
Trained, competency-checked carers
Your carers are trained and signed off for your specific procedures before the first visit, and refreshed regularly.
Care at home vs hospital or a care home
| In this respect | At home with Fabulous | In hospital / a care home |
|---|---|---|
| Familiar carers | The same small, competency-checked team each visit | Whoever is on shift |
| Dignity & discretion | Personal care handled privately, in your own bathroom | Shared facilities and staff |
| Attention | One-to-one, in your own home | Shared across a ward or home |
| Working with the NHS | One plan shared with your district and stoma nurses | Varies by setting |
| Family presence | Family there on your terms | Set visiting hours |
| Cost | Often funded in full by NHS Continuing Healthcare | Varies |
Catheter & stoma care at home: common questions
Who changes the catheter, your carers or a nurse?
Inserting or changing a urinary catheter is normally led by your district nurse. Our trained carers do the daily care (emptying and changing bags, hygiene and checking it drains) and only take on a catheter change if they have been specifically competency-checked for it, under our nurse-led plan.
Do your carers change a stoma or colostomy bag?
Yes. Emptying and changing the stoma pouch and caring for the skin around the stoma is part of the daily care our trained carers provide, once they have been competency-checked on your routine. Stoma reviews and any problems stay with your stoma nurse, who we keep in the loop.
What happens if the catheter stops draining at night?
Carers follow a written plan agreed with your clinical team: they act on the steps they have been signed off on and call the district nurse, GP or 111 without delay, and 999 if your relative is acutely unwell. The plan sets out exactly who to call, day or night.
Can catheter and stoma care be funded?
Many complex packages are funded in full through NHS Continuing Healthcare, which is not means-tested. Our funding guide explains the routes, and we can help with the application.
Last reviewed 14 June 2026 · Reviewed by Roseline Fazal Masih, Registered Manager · Registered Nurse
For NHS discharge teams & case managers
We accept catheter and stoma referrals across Croydon & Bromley and continue continence and stoma routines at home on a nurse-led plan, following the routine your district and stoma nurses have set.
What we provide
- Per-carer competency records for catheter and stoma daily care
- A written care and escalation plan shared with your team
- Output and continence monitoring records available on request
We aim to respond to discharge enquiries the same working day · Across Croydon, Bromley& nearby. Close to Croydon University Hospital and Princess Royal University Hospital.
Where to next
Part of our nurse-led complex & clinical care.
Let’s talk about the care you need
A friendly chat with someone local who understands. We’ll listen first, then help you decide what’s right for your family.