Complex and Challenging Behaviours

Over the years, Holmleigh Care has proven time and again that it can support individuals with complex and challenging behaviour and we have particular expertise in working with adults on the autistic spectrum.

When supporting Service Users it is essential that they can rely on an experienced and well-trained team of care staff. All our employees complete comprehensive training, which includes An Introduction into Autism and further training on How to Support Someone on the Autistic Spectrum. Staff fully understand the importance of structure, routine, consistency and respecting boundaries when supporting someone with the condition.

A Total Communication module is also included in the mandatory training and all staff receive guidance and support on using the most appropriate communication pathway with the Service User, whether that be British Signs, Makaton, Picture Exchange Scheme, Objects of Reference or Storyboards. At Holmleigh we recognise that this approach can help reduce individuals’ anxiety and agitation.

Our team has also adopted a Positive Behaviour Management (PBM) strategy, in order to proactively reduce both the number and severity of behaviour incidents experienced by a Service User.

All staff undertake a comprehensive three day PBM course, half of which is dedicated to theory and half to practical work. There are also refresher courses held every 12 months.

Holmleigh Care has its own accredited trainers who ensure every member of staff has the necessary knowledge to help those with complex and challenging behaviour. Local management will co-design behaviour management support plans, while all our employees must follow a 13 step risk assessment.

Behaviour incidents will occur, but after every incident local management carry out a full debrief of all those involved. This allows our team to ascertain what the triggers were, what went well, what did not and what can be done to prevent a similar incident happening in future. Both the behaviour support plans and the 13 step risk assessment are reviewed regularly and at the end of every month all incidents will also be referred to one of our PBM trainers.

Both the trainer and the local management team are looking for trends/training requirements and will carry out a full functional analysis. Further training can then be organised and care plans and risk assessments reviewed and signed off.

At every stage, Holmleigh’s ethos is “Early intervention – leading to prevention”. Having a highly experienced and well-trained team of staff is very important, but of equal significance is the physical environment the Service Users will be living in. During both the assessment and transition stages, discussions are held to ensure the Service User is moved into the most appropriate environment.