Commissioning us - Complex needs
The need to move from institutional care to independent living
Often people in long-term hospital care can enhance their quality of life by moving to a more homelike environment, which would also be more cost-effective.
How we can help and what we do
We can ensure that people get the long-term care they need in an environment that preserves their quality of life. In 2002, we took over the management of two former hospital units from the Somerset Partnership NHS & Social Care Trust. Funding is through ‘Supporting People’ with property management contracted to a local housing association. These units support 38 people using the service in communal living, providing a high level of support with 24-hour supported living. Our aim is to support individuals who would be in institutional care to develop the skills to move on to independent living.
I cannot believe we kept these individuals in hospital for so long.
Senior Trust Manager
How the service works
Referrals are made through Somerset Partnership Foundation Trust. They value the recovery philosophy and the aspirational, innovative approach our staff take to support individuals and carers through their recovery journey, leading to a close working relationship. The units are comfortable and staff work with people with the most severe mental illnesses including self-harm, eating disorders, personality disorders and substance misuse issues. The services support people for two years to move on to either full independency or lower levels of support such as floating support. Supporting People have quality assured these services as “exceptional” and “outstanding”.
Sara, who has acquired Prader-Willi syndrome, was once a resident. We provided 1:1 support from 8.00am to 10pm daily. Such support has allowed Sara to live in the community for the past six years. Previously, Sara was placed in a specialist Prader-Willi scheme in Hastings, however this broke down within a month as the service found her behaviour too challenging. Now Sara’s weight has reduced from 36 stone to an average of 18 stone and her cognitive ability and overall quality of life have improved immeasurably. Without our support, Sara would be restricted to a secure unit.
Solutions for long-term care; the most complex needs
In 2009, we extended our complex needs support to create a housing solution for two individuals with the most complex needs in long-term hospital care. With funding from Somerset Partnership NHS and Social Care Trust, we remodelled existing accommodation within our housing services to meet their complex needs. The service is registered with the Care Quality Commission as a Supported Living Service, meaning it ‘offers support to individuals experiencing mental health problems and requiring high levels of non-nursing interventions’.
We support Penny, who is more severely affected by schizophrenia and personality disorder than any other client the Trust has previously worked with. We provide 1:1 support 24 hours per day. The advantage for Penny is the environment is more like a private home than a hospital, offering more independence and a recovery approach. Support includes activities, emotional support and development of living skills. The approach includes carers in the support provided as we see them as a key component to the partnership.
The staff at Eastleigh Court have embraced the collaboration between the Partnership in working with complex presentations presented by both clients. The Staff have demonstrated a good understanding of the Guided Formulation for both clients, which has enabled them to work in a psychological informed way and engage with confidence. Staff at Eastleigh Court are motivated, enthusiastic and passionate with the work that is unfolding, and with continued consistency of approach, and working within the framework of the recovery module, the project will flourish, as will the staff.
Complex Case Clinical Lead – Somerset Partnership
 i.e. 21 hours per client per week
Need practical advice & info? We can help.
Contact our Advice team about mental health & related issues
0300 5000 927 Monday - Friday 9.30am - 4pm, not including bank holidays