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Our approach to complex support
How we assess, plan and deliver support for people whose needs may not have been met elsewhere, shown through a case example.
Case example
John’s situation
John is a young man with a learning disability who is autistic. He is moving from a care home to his own tenancy with support. He has limited verbal communication.
When his sensory and communication needs are not met, John becomes very anxious. This has led to damage to his environment, serious injuries and hospital admissions, causing further distress and trauma. He does not like to share his living space, including with support staff, and has a history of fire setting.
John benefits from clear boundaries and consistent approaches. He needs support to self-regulate, engage in meaningful activities and visit his family, which he enjoys.
Seeing the person, not the risk
Our teams are trained in trauma-informed care. We understand John’s behaviour as communication: when his needs are not met, anxiety follows. Our job is to understand what he is telling us and respond to that.
How we support John
Structure, safety and choice
A calm, predictable home
A settled environment, clear routines and visual schedules help John feel safe and in control, reducing his anxiety.
Safety planned in from the start
Risks are planned for before John moves in, so he can safely have more independence, not less.
A consistent team
A core team who know John well work alongside his family and the professionals involved in his care.
Communication that works for him
Pictures, symbols, Makaton and other methods, with speech and language therapy and advocacy where needed.
Positive Behaviour Support
Our in-house PBS specialists build practical, everyday plans around John’s goals, using non-restrictive approaches.
Choice and control
John is supported to make his own decisions, with the least restrictive option always chosen.
Referral and assessment
Clear, timely decisions
People are more than the risks and labels in their paperwork. Referrals go to our Enablement Panel, with operational and PBS input, and clinical input where appropriate.
Discuss a referral
Talk to our referrals team about a complex referral or assessment.