Dynamic Purchasing Vehicle for the provision of supported living services for adults with learning disability, mental health and autism

Description

The Council of the London Borough of Redbridge (“the Authority”) sought Tenders from suitably experienced and qualified organisations for the Dynamic Purchasing Systems for the provision of Supported Living Services. A new commissioning model for supported living services for adults with learning disabilities, mental health and autism has been co-designed with our residents, practitioners, providers and carers. The model is strengths based and focuses on achieving improved outcomes for people; preventing people’s ‘needs escalating, whilst supporting people to maximise their independence. The approach enables providers to work closely with individuals who are referred into their services, to create a bespoke offer for each individual which addresses what is important to them and delivers services which the Council, providers and people themselves will be able to measure. The progression pathway is embedded in the supported living model. It is a person-centred approach which embeds and encourage concept that ‘Supported Living’ is a part of a person’s journey and not the destination. It recognises that every person with a Learning Disability, Mental Health condition or Autism has the potential and opportunity to move to a higher level of functioning if they are given the appropriate care and support. The practice is based on: • Focussing on strengths, rather than a deficit based, assessment and support planning. • With an emphasis on improving and sustaining independence living abilities. • Recognising the difference between maintenance and development needs. • Use goal directed support planning. • Undertake outcome focused reviews. • Take a positive risk management. Some of the outcomes that the council, residents and providers will be able to measure include: ○ Ensuring quality of life for people with care and support needs. ○ Delaying and reducing the need for care and support. ○ Ensuring that people have a positive experience of care and support. ○ Safeguarding adults whose circumstances make them vulnerable and protect them from avoidable harm. Lot 1: LOT 1: LOW AND MEDIUM NEEDS The Authority sought suppliers who can support people with low level needs with aspects of their daily living. The people have a diagnosis of a learning disability and or, mental health and or autism. This may include people who are receiving S117 aftercare support. People in LOT 1 will require support with the following tasks which may include and not limited to: • Claiming benefits, income maximisation and budgeting, • Prompting or managing and maintaining personal hygiene, • Maintaining home environment, • Enabling social inclusion and community integration, • Maintaining adequate nutrition, meal planning and/or meal preparation, • Medication compliance (prompting or administration), • Managing and maintaining tenancy, • Support to access gainful daytime such as employment, training or leisure activities, • Develop capabilities and skills to progress to independent living Lot 2: LOT 2: HIGH AND SPECIALIST NEEDS The Authority sought suppliers who can support who have a diagnosis of a learning disability and or mental health condition and or autism. People may have additional conditions which may need specialist support. The specialisms will include challenging behaviour, acquired brain injury, complex epilepsy, Prader Willi syndrome, Korsakoff syndrome, substance misuse and dual diagnosis. People in LOT 2 may have multiple and interacting mental health conditions e.g. personality disorder. Some people may be actively using substances, may have chaotic lifestyles and presentations, may have experienced domestic abuse and other types of abuse which results in a history of trauma and are at risk of relapse. This may include people who are receiving S117 aftercare support. Providers will be required support people with all the tasks outlined for Lot 1 with the addition of: • Regular supervision throughout the day, • Behaviour management eg psychologist implemented behavioural, drug and alcohol safety plan, • Support with eating, feeding, personal care, continence care, • Medication administration, • Develop skills to become independent or more independent with activities, • Supported recovery setting to achieve their aspirations by building upon their strengths, skills and knowledge, • Intense support to achieve personal recovery, an appropriate, assertive support response is needed to ensure prevention of escalation and support progression. Lot 3: LOT 3: COMPLEX AND BESPOKE NEEDS The Authority sought suppliers who can support people with a diagnosis of a learning disability, mental health condition and/or autism. People in LOT 3 have very complex needs and require individually bespoke support with accommodation. This includes Transforming Care Partnership (TCP) who have very complex needs who require individually bespoke support with accommodation. People may be discharged from having ben assessed in hospital and treated in hospital or secure units for a long time with complex behaviour needs, who have had care packages breakdown multiple times, are jointly funded with health, have a history of offending or high-risk behaviour. Providers will be required to support people with all the tasks outlined for Lot 2 with the addition of: • 1-2-1 or more support or supervision on a 24-hour basis. • Behaviour management on a daily basis. • Highly coordinated and regular review support planning to manage their lives in the short and long term. • Successfully managing transitions from assessment and transitions units into the community.