Personal History
TD is a young person who spent years in an inpatient unit and experienced multiple placement breakdowns. This contributed to his distress and destabilisation during years when consistency, reassurance, and family connection are especially important.
- Admitted to an inpatient service for people with a learning disability
- Experienced several changes in support arrangements
- Placed out of county, with limited contact with his mum
- Lived at Berkeley House for several years
Our team began working with TD in June 2023, initially as part of a planned, gradual transition alongside another provider. As circumstances changed, NCS stepped in to provide full-time support, ensuring there was no gap in care.
Before support began, all staff matched with TD completed a full day of person-specific training developed by the NHS. This meant everyone started with the same understanding and approach from day one.
TD had been living in an NHS inpatient setting following several placement changes. Before that, he had been placed out of county, which made it difficult to maintain regular contact with his mother. By the time NCS became involved, TD had been living at Berkeley House for a number of years. While this setting kept him safe, it was not where he was going to move forward long-term, so we started working to find the right next step.
“We stood alongside him through some very tough times. With consistent staffing, thoughtful care planning, and a truly joined-up, holistic approach, we were able to support him out of crisis, into stability, and ultimately into a place he can now call his forever home.”
- Kallie Marsh, Relationship Specialist and Care Co-ordinator
Support Needs & Staffing
At the start of support:
- 4:1 staffing during the day
- 3:1 staffing overnight
Following a multidisciplinary review, it was agreed that increasing night support to 4:1 would provide a safer and more responsive environment for both TD and the team.
Approach & Intervention
Support took time, consistency, and patience. Over time, a stable core team developed – people who got to know TD well, and who he felt comfortable around.
Support focused on:
- Therapeutic input from the PBS team, alongside other professionals
- Stable routines based on TD’s desires and needs
- Gradual introduction to community life
- Working with a dietician to support healthier eating, including home-cooked meals
Positive Risk-Taking
Progress came from creating opportunities, not avoiding them:
- Regular access to the community
- Time spent at his family home with his mum
- Support to attend medical appointments
- Gradual changes to routines and eating habits
Community & Quality of Life
Over time, TD began to take part in activities that became part of his routine:
- Swimming
- Trampoline parks
- Ninja Warrior sessions
- Park visits and outdoor
- Gyms
- Walks along the Weston-
- Super-Mare seafront
Outcomes & Impact
With consistent support in place:
- Incidents reduced in both frequency and intensity
- Use of physical and chemical restraint decreased
- TD became more settled and engaged
- Health improved through changes in diet and routine
Milestones Achieved
- First community outings during support
- First visit back to his childhood home with his mum
- Increased comfort with structured routines
- Move into a long-term home that meets his needs
Transition to Long-Term Placement
An OFSTED-registered provider was identified, and a purpose-built home was developed around TD.
NCS supported:
- Transition planning
- Joint working with the new provider
- Gradual introduction to the new environment and team
TD moved into a home designed for him, where he now receives full-time support.
Timeline of Key Events
- June 2023 – NCS onboarding and immediate full-time support
- November 2023 – OFSTED provider identified; building works begin
- April 2024 – Provider begins transition involvement
- 2025 – Joint working and transition period
- July 2025 – Full move into permanent home
Model of Support
- Person-centred care
- Positive Behaviour
- Support (PBS)
- Consistent staffing and relationship-based support
- Trauma-informed practice
- Multidisciplinary collaboration
Want to discover the impact of clinical person-centred care?
Fill out the form to receive the full stories directly in your inbox.
Download our real-life case studies & see our practices in action.