learning disability | autism | mental health Design for People
with Behaviours that Challenge Richard Webb Executive Director of
Housing & Development
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Who are mcch? Providers of care, support and housing Learning
disability, autism and mental health Support 2000 people Registered
charity Not a Registered Provider London and the south-east
Specialist housing department Tenancy management New build
development Private sector Partnership with RSLs
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Why do we (mcch) design and build new schemes?
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Accommodation out of date Poor quality Needs and aspirations
Direct link between environment and outcomes But.. Engagement of
Registered Providers (development & service delivery) Lack of
money Squeeze on local authorities Procurement v Commissioning
Short term thinking
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Could the NHS help? Releasing capital Land and assets Long term
partnerships It can work but....be prepared for.... Fatigue Hair
loss Frustration Broken furniture Legal battles Capital Grant
Agreements
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So, what is challenging behaviour?
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Holly Lodge
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Sector Recognition Kent Business Award for Innovation in
Partnerships National Learning Disability Award for Supported
Housing Good practice example for Winterbourne View studies Had its
own Blog! Local Authorities up and down the country trying to
replicate
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Concept Environment to influence/reduce behaviours Self
contained v shared accommodation Learning from experience Designed
by people who really know staff, families, care managers
Flexibility Attention to detail no matter how small Long term
commitment no ordinary development
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Site layout
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Internal Layout
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Design
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Technology
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Features (1) Toughened kitchen sinks with overflow shut off
valves Magnetic release locked cupboards without handles Metal kick
plates to back of kitchen floor units Induction hobs with lockable
metal covers Narrow, tall windows with sloping sills Integral
blinds with detachable, magnetic mechanism Sun pipe (for Seasonal
Affective Disorder) with electric blinds Curved wooden walls
covered with marmoleum covering LED lighting throughout Built in
toughened Formica media unit Large lockable storage cupboards
Cupboard with sluice facility Toughened bathroom suite with
flexibility for flush floor or bath Hygienic Whiterock wall
covering
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Features (2) Zoned underfloor heating External access panels
for repairs Fingerprint entry to all external doors Call point to
staff from each unit Sensor lighting from bedroom to bathroom
Sensors and shut off values to all water supplies Bathroom sensors
Ceiling movement sensors throughout Mood lighting ISDN lines to
make remote system changes Digital handsets for telecare alerts
Separate boiler room (with back up system) Green (seedum) roof
Solid doors with appropriate handles
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Challenges Cost Time Design aiming for right first time User
testing Clinicians/professionals Voids pragmatic approach
required
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Successes Improved outcomes Reduction in crisis intervention
People able to return to Kent Repair cost savings (some)
Commissioner savings Improved environment for staff less stress
Made the sector think influence future design
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Is Holly Lodge the answer? Yes and No Range of providers
Multiple solutions Flexible approach different solution for a
different time Housing/environment is critical for users and staff
Long term financial benefits Invest to save
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Roberts story 38 years old Severe learning disability Autistic
Spectrum Disorder Epilepsy Displays challenging behaviour physical
injury and damage to environment Limited cognitive ability Sense of
humour Physical activities Duel funded by Health and Local
Authority
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Roberts story
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Robert moved in September 2013 Building more appropriate
Continued to challenge the environment user testing Staff less
stressed breaks are now possible More choice he can choose what he
does, where and who with Support interventions have decreased Now
able to spend time on his own Can now socialise when he wants to
Outcomes improving
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Richard Webb Executive Director, Housing and Development 01622
722493 [email protected]