Tracheostomy & airway care at home
Many people with a tracheostomy can be cared for at home rather than in hospital. At Fabulous Homecare, trained carers provide suctioning, stoma and inner-tube care under a nurse-led plan, with competency checked for your specific tube before any visit. We are CQC-registered for clinical care and rated “Good”, across Croydon and Bromley.
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
- Airway suctioning to keep breathing clear, as often as your care plan sets out
- Cleaning and checking the stoma (the opening in the neck) and the skin around it
- Inner-cannula (inner tube) care and changes
- Changing tube ties and checking the tube is secure and comfortable
- Humidification to help keep secretions loose
- Watching for early signs of a blockage or infection and following the plan
Who does what
Your care is planned and overseen by our Registered Manager, a registered nurse. The hands-on visits are delivered by carers we employ directly, and no carer supports your tracheostomy until they have been trained and competency-checked on your specific tube and routine, for you, not in general.
If something goes wrong
If the airway looks blocked or your relative is struggling to breathe, carers follow a written escalation plan agreed with your clinical team: they clear the tube using the steps they have been signed off on, and call 999 and the on-call contact without delay. The plan names exactly who to call, in what order, day or night.
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 |
| Attention | One-to-one, in your own home | Shared across a ward or home |
| Infection exposure | Your own environment | A shared clinical setting |
| Family presence | Family there on your terms | Set visiting hours |
| Who holds the plan | One nurse-led plan shared with your NHS team | Varies by setting |
| Cost | Often funded in full by NHS Continuing Healthcare | Varies |
Tracheostomy & airway care at home: common questions
Can your carers actually do tracheostomy suctioning, or only nurses?
Suctioning and routine airway care are delivered by our trained carers under a nurse-led plan, but only after they have been competency-checked on your specific tube and routine. Our Registered Manager, a registered nurse, oversees the plan and the sign-off.
What happens if the tube blocks during the night?
Your plan includes a written escalation routine agreed with your clinical team. The carer clears the tube using the steps they have been signed off on, and calls 999 and the named on-call contact without delay. The plan sets out exactly who to call, day or night.
Have your carers supported a tracheostomy before?
Yes. Tracheostomy and airway care is part of the complex care we provide. We are CQC-registered for “Treatment of disease, disorder or injury” and rated “Good”, and we competency-check each carer for your specific tube before they visit.
How quickly can care start after a hospital discharge?
Often within days, and faster when a discharge is time-critical. Tell us the situation and we will be honest about what we can put in place and when.
Will it cost us, or can it 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 13 June 2026 · Reviewed by Roseline Fazal Masih, Registered Manager · Registered Nurse
For NHS discharge teams & case managers
We accept tracheostomy and airway referrals across Croydon & Bromley and bring a patient home on a nurse-led plan, following the discharge plan already in place.
What we provide
- Per-carer competency assessment records for the specific tube and procedures
- A written care and escalation plan shared with your team
- Decision Support Tool / Continuing Healthcare supporting evidence 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.