Gratton Road – 1 space
Stanley Street – 2 spaces
Worcester Road – 2 spaces
Ramsay Close – 1 space
At BSH we identified a need for a service that provided specialist support for people who had a different set of needs to enable them to live well in the community, despite having a higher level identified risk. There are some people whose risks are deemed too high to live within their local community in mainstream accommodation.
Usually the only option is either large specialist services or hospital wards. We have created bespoke accommodation settings with intensive care and support that meets individual needs, enabling them to live fully in their community.
In these services, we support people with more complex needs; mental health diagnosis such as psychosis or emotionally unstable personality disorder with a coexisting learning disability/Autistic Spectrum Disorder, and they may also have an acquired brain injury. This can present challenging and high-risk behaviour.
We can provide intensive support which equates to 1:1 or up to 4:1 24-hour staffing. Our staff are highly trained in managing challenging behaviour and positive risk management.
Our interventions do result in reduced hospital admissions, and we work closely with commissioners to try and keep people at home even during a crisis. We can be flexible with our staffing and work alongside secondary statutory services in the management of risk.
The goal is often to prevent hospital admission however, for some service users the goal may be to reduce the number of hospital admissions over a period of time. We do not see hospital admissions as a failure of care but as part of someone’s life journey that should not prevent them moving forward.
We work within NICE Guidelines on Autism spectrum disorder in adults (2016). Our support is centred around person centred care, effective communication and structured daily activity planning which promotes routine, goal setting, safety and reinforces boundaries. We provide a consistent team which is vital for service users on the Autistic Spectrum Disorder (ASD), who may find change difficult.
Our enhanced support projects are based in Bedford in mainstream housing; 2 and 3-bedroom homes which have been adapted to meet individual need. They can provide accommodation for 1 to 3 people.
A typical environment will consist of a service user’s flat on the ground floor with all facilities which include bedroom, living room, kitchen, bathroom, and outside spaces. And upstairs there will be staff areas providing offices, and sleep in and bathroom areas.
To promote positive environments and positive risk management, all homes are fully furnished, and service users can choose from a range of items and colour schemes. We provide items such as, TVs, induction hobs and CCTV monitoring as standard in our units.
Transition into our intensive support units are assessed on an individual basis. Some service users need time to get used to a new environment and people they do not know. We are happy to work at the individual’s pace.