Case Study – How Pre-Registration Can Prove Invaluable

A family contacted Eximius seeking guidance and cost information for their father, who had sustained a spinal cord injury following surgical complications. At the time, the family were personally supporting him at home, managing his care needs, including night-time repositioning due to a Grade 3 pressure sore acquired in hospital. They were exploring future options and wanted to ensure they had a trusted provider with a person-centred approach in place for when they felt it was the right time to introduce professional, managed, live-in care.

To provide clarity and reassurance, a face-to-face preregistration assessment was arranged. This allowed for a detailed understanding of the client’s needs, family preferences, and care priorities, while also giving the family the opportunity to ask questions and build confidence in the Eximius approach.

Over the following six months, Eximius maintained close contact with the family, working collaboratively to design a person-centred, clinically informed care plan that could be implemented when they were ready.

During this preregistration period, we:

• Supported the family with planning and guidance while they continued providing hands-on care.
• Identified and trained a small, consistent team of live-in carers to match the client’s preferences and routine.
• Worked alongside the family and clinical leads to develop a specialist care plan, focusing on pressure care and bowel management.
• Explored potential funding options, ensuring the family were informed and prepared for the transition.

When the family decided to move forward, the preparation carried out during preregistration enabled a smooth, confident transition into managed complex live-in care.

Outcomes

Since starting with Eximius, the client’s pressure sore has fully healed, as confirmed by clinical and district nursing teams. He now sits comfortably for extended periods, enjoys meals in his reclining chair, and has been able to resume family outings after more than a year. The improved bowel management routine has reduced the need for medication and improved his overall comfort and well-being.

The preregistration process played a vital role in these outcomes—allowing the family to prepare at their own pace, ensuring care was introduced only when they were ready, and establishing trust, continuity, and clinical success from the outset.

What our client says:

We had been having difficulty with deciding on care for our dad who had become paraplegic. Eximius seemed like a lovely group that seemed to work well as an organisation, but also responsive and attentive and clearly have knowledge about spinal cord injuries. They had good continuity of contact and guided us through each step. I’m sure we would have been demanding as clients as most people would be when it comes to getting the best care for their family members, but Eximius were patient and empathetic and we always felt supported.

They found us great carers of good quality and competence, and we are in the process of trialling out our new carers. I would recommend them!

If you’d like to learn more about spinal cord injuries, recovery, and support options, we recommend visiting the NHS spinal injury guide and the Spinal Injuries Association. Both offer practical advice and trusted information for individuals and families adjusting to life after spinal injury.

If you’d like to talk through live-in care options for someone recovering from a spinal injury, our team is here to listen and help you plan at your own pace.

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