Quality Driven Social Care

Our clinical services support all aspects of operational delivery and we employ the following staff to achieve this
  • Registered Learning Disability Nurses (RNLD)
  • Positive Behavioural Support Practitioners – level 4 & 5 (accredited by NHS Wales and the Tizzard Centre) supported by PBS Assistants
  • PROACT-SCIPr UK trainers
We also engage professionals to provide the following services on a sessional basis as required and dependent upon agreed care packages
  • Occupational Therapy
  • Sensory Assessment
  • Speech & Language Therapy
  • Clinical and Forensic Psychology
  • Physiotherapy
Our clinical services
  • Provide direct assessment and intervention in relation to complexity
  • Agree minimum for support delivery based upon nationally accepted standards ensuring practice is evidence based
  • Support the training and development of all operational staff
  • Drive forward internal governance processes including coordinating the services independent multi-disciplinary review panel
Minimum standards

We apply as set of minimum standards across our service for each person that we support:

  • Health Action Plan
  • PBS Assessment and Support Plan
  • PROACT-SCIPr plan
  • Autism focused support plans related specifically to communication, flexibility of thought, social understanding and sensory needs
  • Learning Disability focused support plans related to activities, skills development, capacity, personal care, mental health needs
Evidence based practice

Our minimum standards and service design are based upon the following


The principals of promoting independence, social inclusion, enhancing quality of life, promoting positive behaviours, living a healthy life



NHS England & NHS (2018) Improvement: A Just Culture Guide: Supporting consistent, constructive and fair evaluation of the actions of staff involved in patient safety incidents



Epilepsy Nurses Association (2019) Best Practice Guidelines for Training Professional Carers in the Administration of Buccal (oromucosal) Midazolam for the Treatment of Prolonged Seizures

Department of Health (2010). Valuing People Now: Summary Report March 2009 – September 2010 Including findings from Learning Disability Partnership Board Self Assessments 2009-2010



Public Health England (2016) Guidance: Annual health checks and people with learning disabilities



Mencap (2007) Death by Indifference Following up the Treat me Right Report!



Behaviour & service design

The Royal College of Psychiatrists (2016) Challenging Behaviour: A Unified Approach – Update (2016). Clinical and service guidelines for supporting children, young people and adults with intellectual disabilities who are at risk of receiving abusive or restrictive practices. https://www.bps.org.uk/news-and-policy/challenging-behaviour-unified-approach-updated-april-2016

RRN Restraint Reduction Network (2019) Training Standards First Edition. J, Ridley & S. Leitch Ethical training standards to protect human rights and minimise restrictive practices



BILD (2014) Code of Practice for minimising the use of restrictive, physical interventions: planning, developing and delivering training. A guide for purchasers of training, training organisations and trainers. 4th Edn.



NICE: National Institute of Clinical Excellence (2019) Clinical Guidance: Epilepsies: Diagnosis and Management (CG137)



NICE (2018) Learning Disability and Behaviour that Challenges: Service Delivery and Design


Challenging Behaviour Foundation (2019) Challenging Behaviour Charter: Challenging Behaviour National Strategy Group



BILD (2019) PBS Awareness Training: Commissioned by DOH (2014)



NHS Wales – University Health Board. PBS Accredited Training