Adult Care services

Specialist residential step-down for complex mental health needs

We provide specialist residential step-down services for people with complex mental health needs who require a supportive and structured environment as they move towards greater independence.

Our services are designed for people who may no longer need hospital care but require more support than can be provided in a lower-level community setting. We provide a stable, homely environment where people can build confidence, develop independence and work towards their next stage of community living.

Our approach is individualised. We work with the person, their clinical team, commissioners and other care partners to understand their needs, manage risk and provide the right level of support to help them make sustainable progress.

All of our services can support people with dual diagnosis alongside their primary mental health needs.

Our Adult Care Services 

We currently provide specialist residential services in Northampton and Nottinghamshire.

Northampton

We specialise in supporting people with a primary diagnosis of mental health, including people with complex mental health presentations who require residential step-down support.

Northampton also provides specialist support for Deaf people with complex mental health needs. Our service is designed to recognise the specific communication, accessibility and mental health needs of Deaf people, with access to specialist Deaf mental health multidisciplinary support.

Nottinghamshire

Our Nottinghamshire service is based in Bestwood Village and comprises a residential building with six single-occupancy apartments.

We provide specialist residential step-down support for people with complex mental health needs, helping individuals develop the skills, confidence and stability required to move towards greater independence.

Our specialist Adult Care offer 

Complex mental health

Complex mental health support is at the heart of what we do.

Our residential services provide a structured and supportive environment for people who need a period of stability and rehabilitation before progressing to less supported living.

We work with each person to understand their individual needs, strengths and goals, providing support that helps them build independence and prepare for the next stage of their journey.

Residential step-down

Our services provide a pathway between more intensive care and greater independence in the community.

Step-down is about more than reducing levels of support. It is about helping someone develop the confidence, skills and stability they need to sustain their next placement.

Support can include:

• Developing independent and daily living skills
• Establishing routines and structure
• Building confidence and managing risk
• Supporting community engagement
• Developing meaningful activities and relationships
• Preparing for a move to less supported accommodation where appropriate

We work alongside the person's existing professional network to ensure that their placement has clear objectives and a shared understanding of what successful progression looks like.

Deaf mental health

Our Northampton service has specialist expertise in supporting Deaf people with complex mental health needs.

We understand that Deaf people may have specific communication and accessibility requirements that need to be considered alongside their mental health needs.

Where appropriate, our Deaf mental health provision can draw on specialist multidisciplinary support, helping ensure that communication, mental health and wider care needs are considered together.

Dual diagnosis

Our services can support people with dual diagnosis alongside their primary mental health needs.

We recognise that additional needs can affect how a person experiences their mental health and may influence the support they require.

Our approach considers the whole person and aims to provide a stable environment in which individuals can develop greater independence and work towards sustainable community living.

Working with commissioners and care partners

We work collaboratively with commissioners, Provider Collaboratives, funding teams, clinical professionals and other stakeholders to identify appropriate placements and support successful transitions.

We understand that a successful step-down placement needs a clear purpose. From the outset, we work with care partners to understand the person's current circumstances, their support needs and the outcomes they are working towards.

This includes considering:

• The person's mental health needs and current presentation
• Their strengths, goals and aspirations
• The level of support and supervision required
• Risk and how this can be safely managed
• Communication and accessibility needs
• Independent living skills and areas for development
• The pathway and support required for their next stage of care

Our aim is to provide a safe, supportive and purposeful placement that helps people make meaningful progress towards greater independence.

Make a referral

Looking for a specialist residential step-down placement?

If you are looking for a residential step-down placement for someone with complex mental health needs, our team would be happy to discuss their needs and whether one of our services could be appropriate.

We also welcome enquiries regarding Deaf people with complex mental health needs who may benefit from our specialist Northampton service.

Contact us here.