Community Services for Working Age Adults, with Learning Disabilities, Complex Health Needs, Autism, Mental Health or Physical Disabilities

Individuals will have learning disabilities, autism, physical health needs, sensory impairment and/or mental health needs, but will not need support with personal care and end of life care.

Individuals may require support with the following:

• They may be living independently or with family or friends.
• They will need a small number of hours of support each week or month. The level of support

may reduce over time as they build confidence and independence. Support may not always need to be provided one-to-one.

• Support will include information, advice, practical support and connections to help people to make their own decisions, and to access training, volunteering, employment, social and community activities.
• Active avoidance of restrictive and punitive approaches to managing behaviour that challenges, at all times
• Positive strategies to manage early warning signs or triggers, e.g., distraction techniques Additional information: The framework term will be for 5 years however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the successful applicant

Individuals will have learning disabilities, autism, physical health, sensory impairment or mental health needs and may have personal care needs. They may be living independently, with family and friends, or in registered accommodation.

They will need more hours of support each week (28hrs+) than those in Lot 1, but this will not be full-time and may reduce over time as they build their confidence and skills.

Providers will have the necessary registration to undertake regulated activities and staff will have skills in relation to Positive Behaviour Support. Support will include access and provision of information, advice, community connections, practical support and personal care support Additional information: The contract term will be for 5 years however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the

successful applicant

The primary aim of services delivered under this Lot is to reduce the frequency, intensity and duration of behaviour that challenges, as well as mental health and emotional distress,

young people and adults with a learning disability and/or autism.

Individuals are likely to have behaviour that challenges, behaviours of destructive nature, experienced trauma, forensic needs or fluctuating mental health needs. Types of need may

include persistent oppositional disorder, attachment disorder, mental illness, ADHD etc, characterised by a range of issues: emotional issues e.g., anxiety, low mood, anger/aggression, low resilience, social difficulties, self-harm and depression.

One of the purposes of this Lot is to facilitate access to providers of specialist services for young people and adults of all ages. We will be looking to commission a range of providers with specialist skills. Providing a range of complex highly specialist clinical assessments and interventions (where required), employing methods based on proven efficacy, for individuals, adjusting and refining clinical formulations. Additional information: The contract term will be for 5 years however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the successful applicant

3a - Complex Physical Health Needs

Individuals are likely to have multiple complex physical health needs. We will be looking to commission a range of providers with specialist skills in relation to:

• Complex physical health needs; Mental Health needs; Profound and multiple learning disabilities;
• Individuals are likely to need longer-term care and support, often on a full-time basis. With the right specialist support this may reduce over time as people build their networks and skills.
• Providers will have the necessary registration to undertake regulated activities and staff will have specialist skills in relation to managing complex physical health needs.

3b - Complex behaviours

Individuals are likely to have behaviour that challenges, behaviours of destructive nature, experienced trauma, forensic needs or fluctuating mental health needs. We will be looking to

commission a range of providers with specialist skills in relation to:

• Dual diagnosis including physical needs, mental health and/or learning disabilities and/or autism;
• Complex behaviours;
• Behaviours that can challenge services;

Trauma informed practice.

• Forensic Needs

Individuals are likely to need longer-term care and support, often on a full-time and 24/7 basis, including 1:1, 2:1, 3:1 support and higher. With the right specialist support this may reduce over time as people build their networks and skills. Providers will have the necessary registration to undertake regulated activities and staff will have specialist skills in relation to Positive Behaviour Support & support and liberty protection safeguarding.

3c - Residential Overnight Short Breaks Services for Adults with a Disability

The provider will operate 4 residential short stay beds commissioned on a spot basis via the framework contract

• The provider will deliver the service in line with the core service specification and provisions outlined within these appendices, the provider will operate 4 short stay beds to meet individual needs on the following basis:
• Short break full weekday: 24-hour support including all daytime support, a waking night and a shared sleep in for the service from 10pm - 7am.
• Short break partial weekday: support excluding day support with a waking night and shared sleep in for the service from 10pm - 7am - based on an assumption of an average of 17 hours support provided from the short breaks service (but recognising individual day support arrangements will vary).
• Short break weekend: 24-hour support including all day support, a waking night and a shared sleep in for the service 10pm - 7am.
• Additional 1:1 support during the day and night may be commissioned to meet individual needs Additional information: The contract term will be for 5 years however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the

successful applicant