Provision of Care Homes for Adults under 65

This lot is for individuals with LD/Autism who may have a range of complex needs and display signs of stress and distress, but not limited to including autism spectrum disorder, physical disabilities, sensory impairment, complex health needs, restricted communication and behaviour which challenges services, mental health needs, offending behaviour, or a combination of these.

This lot is for individuals with mental health disabilities who may have a range of complex needs and display signs of stress and distress, but not limited to including schizophrenia, bipolar or manic-depressive disorder, depression, anxiety disorder, severe affective disorder, personality disorder, disorders resulting from previous addiction, eating disorders and self-harming behaviours, past/current trauma, and gender-based issues. Individuals within this category are typically individuals who have been diagnosed as having a severe and enduring mental illness and are acutely unwell or have long term mental illness which significantly impacts their functioning and motivation to care independently for themselves and their ability to sustain relationships. They may lead chaotic lifestyles leading to recurring crises and may also present significant risk to their own safety or that of others.

This lot is for individuals with physical disabilities who may have a range of complex needs and display signs of stress and distress but not limited to physical, neurological, and social needs. These health care issues may include hearing, speech or visual impairment, Alzheimer’s, dementia, epilepsy, diabetes, or a stroke. Other health care issues that may require more complex care include but are not limited to brain damage, spinal cord injuries, multiple sclerosis, muscular dystrophy, ventilators, gastrostomy feed needs such as PEG, supra pubic catheters, epilepsy, Parkinson’s disease, Huntington’s disease, hypoxic brain injury, COPD, previous drug/alcohol abuse, subarachnoid haemorrhage, alcohol related brain injury, Lewy body dementia, bariatric clients, battens disease, down syndrome, clients who may require suction and piped oxygen, tracheostomy (which may only be available in specific care homes) - list not exhaustive.

This lot covers individuals with drugs and alcohol related brain injury (ARBI) who may have a range of complex needs and display signs of stress and distress. ARBI refers to a large spectrum of disorders which affect cognition, achieved through excessive alcohol consumption (Alzheimer’s Society, 2015). This can lead to physical and mental impairments and most individuals with ARBI will exhibit problems with short term memory and recall associated with change and damage to the frontal lobe of the brain. These changes often result in cognitive impairments, which can interfere with an individual’s ability to function independently, specifically in areas such as memory, attention, planning, judgement, and processing of new information. These difficulties are often accompanied by personality and behavioural changes, which can result in increased risk behaviour. Importantly, ARBI has the potential for recovery. Evidence suggests that 75% of patients diagnosed with ARBI have scope for some level of recovery with the right treatment and rehabilitation. The remaining 25% are likely to halt any deterioration with abstinence.