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HomeNDIS Support › High-Intensity & Complex Care
Our specialty · 1:1 and 2:1 supports · RN-led

High-intensity & complex care, done properly

Skilled support for people with complex health and disability-related needs — the care we are clinically structured for. Workers are trained and assessed for the tasks they are assigned, in line with the person's plan, relevant practice standards and RWG procedures, with clinical governance and escalation arrangements matched to each person's assessed needs.

A carer gently assisting a client at mealtime in the atrium

Who we support

Rosewood Gardens is clinically structured to support participants and clients with elevated and complex support needs — at home, in the community, in Supported Independent Living, and at our Ashburton residence:

  • Chronic and complex medical conditions
  • Neurocognitive disorders and dementia-related disability
  • Behavioural complexities, supported in line with individual behaviour support plans
  • Psychosocial disability and mental health support needs
  • Significant functional impairment requiring high-intensity daily personal care
  • TAC-supported clients recovering from transport accident injuries
1:1 attention, never rushed

The right staffing — not just staffing

Support ratios are a clinical decision, not a default. We assess, recommend, document and deliver.

1:1 dedicated support

One consistent worker, wholly focused on one person.

  • High-intensity personal care & complex daily living
  • Clinical monitoring through the shift
  • Behaviour support delivery, one trusted face
  • Community access with structured supervision
  • Overnight — active or sleepover — and 24/7 rosters

2:1 support where safety requires it

Two workers, one participant — recommended by clinical assessment and written into the plan.

  • Complex transfers, hoisting & positioning
  • Behaviour support where risk is elevated
  • Community access that one worker cannot safely provide
  • Complex clinical routines and procedures
  • We aim for a consistent small team, so support feels familiar

Clinical capabilities

Delivered by nurses and by support workers trained and assessed under RN oversight, within the NDIS high-intensity framework.

Medication & monitoring

  • Medication administration
  • Clinical observation & monitoring
  • Chronic condition management

Wound & skin

  • Complex wound care
  • Pressure area care
  • Post-surgical wound management

Nutrition & feeding

  • PEG feeding & enteral nutrition
  • Specialised nutrition support
  • Mealtime management & dysphagia support

Continence & bowel

  • Continence management
  • Complex bowel care
  • Catheter support

Behaviour & psychosocial

  • Behaviour support plan delivery
  • Psychosocial recovery support
  • De-escalation-trained workers

24/7 clinical backbone

  • 24/7 nursing where clinically required and funded
  • On-call RN escalation for every shift
  • Proactive risk management

Every support listed is subject to clinical assessment — availability, staffing and suitability for your situation are confirmed with our clinical team before services begin.

Personal care delivered with warmth and dignity

How we keep complex care safe

RN-led planning. Every complex care plan is designed, documented and reviewed by a registered nurse — not adapted from a generic template.

Trained for the person, not just the task. Workers are trained and competency-assessed on each participant's specific supports before their first solo shift.

Structured supervision. Care Partner as your first point of contact, Care Manager for ongoing planning, Operations Manager keeping everything running — and clear communication with families throughout.

Continuity. The same small team, every week. In complex care, familiarity is not a luxury — it is a safety measure.

Wherever you call home

Your home & community

High-intensity supports and community access delivered where you live, across Melbourne and Sydney.

SIL support services

We deliver Supported Independent Living supports — the workers, rosters and clinical structure, including 24/7 and overnight — in your own or shared home. We are a support provider, not an accommodation (SDA) provider.

Our Ashburton residence

High-intensity NDIS supports at our Aged & Disability Residential Care residence — registered nursing onsite 24/7, with carefully planned transitions between levels of care.

Support coordinators & discharge planners

Send us the complex referrals other providers decline. We respond quickly, assess honestly, and only say yes when we can do it properly.

Make a referral

Frequently asked questions

What counts as high-intensity or complex care?
Supports for people whose needs go beyond everyday assistance — chronic medical conditions, neurocognitive disorders, dementia-related disability, behavioural complexities, psychosocial disability, or significant functional impairment. It means clinical procedures, higher staffing ratios, and structured supervision, delivered by workers trained and assessed for each task.
What is 2:1 support and when is it used?
Two support workers with one participant at the same time. It is used where safety or dignity requires it — complex transfers and hoisting, behaviour support with elevated risk, community access where one worker is not enough, and some clinical routines. The ratio is recommended through clinical assessment, documented in your care plan, and delivered consistently by workers who know you.
Who oversees the clinical side?
A registered nurse designs and reviews every complex care plan, trains and assesses the support workers who deliver it, and stands behind them with 24/7 on-call clinical escalation. This is the structure the NDIS expects for high-intensity supports — and it is how we run every complex client, everywhere.
How is this funded?
Through your NDIS plan (including high-intensity loadings and SIL where applicable), TAC arrangements, or Support at Home clinical funding for older clients. We work with your support coordinator or case manager so the funding matches the roster — before services start.
Can you take on someone being discharged from hospital?
Yes — hospital discharge is one of our most common starting points. We liaise with discharge planners, build the clinical care plan, train the team on your specific needs, and have supports in place for the day you come home. Send the referral early and we do the rest.

Complex care, gently done

High support needs never mean losing warmth or dignity.

Personal care with a smile Specialised mealtime support Supported movement as part of the daily routine

Watch: patience is a clinical skill

Unhurried, attentive care — every visit, every meal.

No obligation · free consultation

Refer a participant or ask us anything

Send the form and a dedicated Care Manager will call you back — usually within one business day. Or talk to a real person now.

Prefer to talk now?1300 845 766

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