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Achieving better outcomes in supported accommodation

This resource highlights the importance of person-centered practices in supported accommodation. It defines core principles like independence, inclusion, and choice while contrasting them with conventional practices that often lead to isolation and control. Key factors for success include supportive contexts, skilled staff facilitation, and a commitment to active support. Evidence shows that effective active support leads to increased engagement and independence, particularly for individuals with severe intellectual disabilities. A culture of continuous improvement and strong relationships is essential for better outcomes.

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Achieving better outcomes in supported accommodation

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  1. Achieving better outcomes in supported accommodation Jim Mansell

  2. What should services achieve? • Principles often very clear: independence, inclusion, choice • Practice often adrift: ‘cared for’, isolated, controlled

  3. What does it take to provide good services? • A supportive context • Skilled facilitation by staff • A sense of direction and a commitment to the journey

  4. A supportive context • Arrangements are person-centred, not standardised • They support family and community life • They adopt a social model of disability not a medical model • They use a ‘support model’ not a ‘readiness model’

  5. An environment rich in opportunities at home…

  6. …and in the community

  7. Skilled facilitation by staff • Be clear about what values mean in the everyday lives of people • Focus on how staff support people minute-by-minute to achieve this • Key question is “What would you see?”

  8. What would you see?

  9. What would you see?

  10. What is person-centred active support? • Providing enough help to enable people to participate successfully in meaningful activities and relationships • So that people gain more control over their lives, gain more independence and become more included as a valued member of their community • Irrespective of degree of intellectual disability or presence of extra problems

  11. Elements of active support • ‘Every moment has potential’ • Little and often • Graded assistance to ensure success • Maximising choice and control It’s about the quality of relationship - not about the paperwork!

  12. Results: enabling assistance

  13. Results: engagement in meaningful activity

  14. OK! OK! I believe you – active support is good! What is the evidence? • Active support produces higher levels of engagement in meaningful activity • These lead to increases in independence • Especially effective for people with severe and profound intellectual disabilities • Staff training produces dramatic effects • On-the-job coaching is essential • Maintenance requires ongoing management commitment and involvement

  15. A sense of direction and a commitment to the journey • We can do better… • More supportive contexts and better active support • We can overcome obstacles • Being a movement for change as well as a support for individuals

  16. A virtuous circle

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