Care Home Services

Enhanced Social Care Services 

Residential community based services for learning disabled adults

Make an enquiry about our specialist Residential services

Our Enhanced Social Care services support individuals with significantly complex and challenging needs.

The Enhanced Social Care services are able to support individuals with learning disabilities to enable them to successfully move out of hospital into the community, many of whom have had significantly long stays within hospital settings, including secure hospitals and have been difficult to place elsewhere. The services are also able to support people who are currently living in the community who, due to a crisis, require a period of intensive and focused care and support to enable them to return back to their home environment.

These social care services are specialist provisions with enhanced levels of support which allow people with continuing challenging behaviour and high support needs to be cared for in the least restrictive setting possible, but within a service which is robust and structured enough to meet their ongoing needs and risks. Although many individuals with learning disabilities will be able to move on into supported living or mainstream care services, there is a small group who will continue to require a very specialist provision. Chesterfield House in North Hykeham- Enhanced Social Care Service in Lincolnshire

Our robust enhanced social care services are suitable for those individuals who:

  • Are currently or have previously been in hospital or specialist services and require a robust alternative to further support progress to a more independent living setting
  • Are currently living in the community who due to crisis require a period of person centred intensive care and support in a community based settled service

Our Enhanced Social Care Services utilise Lighthouse’s unique apartment based and small group living model to ensure that individuals are not living in large institutional settings and are living in as close to an ‘ordinary living environment’ or their own home, as possible. Small apartment based living allows people to develop and maintain their independent living skills and the model also allows challenging Chesterfield House in North Hykeham- Enhanced Social Care Service in Lincolnshirebehaviour to be more positively and safely managed. Individuals are supported to access mainstream community facilities, resources and services to ensure real social inclusion.

The Enhanced Social Care services are also able to provide clinical input such as psychology, psychiatry and speech and language therapy, should this be required. This is provided by specialist clinicians with experience of working with people with challenging behaviour and complex needs. Many individuals require this ongoing support, usually for a fixed period of time, to enable them to safely step down into the community.

Lighthouse’s Enhanced Social Care services are staffed by a workforce who are trained in working with people with challenging behaviour and complex needs with a learning disability and or autism, over and above national minimum standards. All staff are trained to a BILD accredited model and framework of positive behaviour support and management. The Woodlands- Enhanced Social Care Service in Staffordshire- Male Learning Disabilities

Our service users have a range of complex needs including forensic issues such as sexual offending histories which mean that they require supervision to allow them to live safely in the community. Many have associated mental health conditions or personality disorder which may result in them displaying challenging behaviour, or self injurious and self harming behaviour. Many of the individuals we support have significant histories of aggression and violence towards others and many have past histories of trauma and abuse.

The individually tailored packages of care provided include nursing and social support and a focus on community presence. Or approach centres on ensuring people lead good and meaningful everyday The Woodlands- Enhanced Social Care Service in Staffordshire- Male Learning Disabilitieslives, where they have choice and control, accessing mainstream services and facilities, engaging in work and training, in leisure opportunities, hobbies and areas of personal interest taking holidays. They are supported through person centred care which enables them to live in the least restrictive setting with the least restrictions possible.

Our Enhanced Social Care Services are:

All these services are close to Lighthouse hospitals so benefit from access to the full multi-disciplinary team for tailored packages of clinical input and also support in a crisis situations, should this be required.

The aim of these services is to prepare individuals for living more independently through a programme of Person Centred care which incorporates the following elements:

  • Individually tailored recovery and rehabilitation pathways Enhanced Social Care Services
  • Care  delivered and reviewed following My Plan 
  • Positive risk taking
  • Strengths based approach
  • Positive behaviour management  strategies
  • Access to meaningful and stimulating activity 7 days a week
  • Developing independent living skills and community engagement
  • A strong emphasis on safeguarding
  • Robust clinical governance
  • Access to independent advocacy
  • Strong multiagency and family partnerships to ensure a holistic package of care and pathway

All of our Enhanced Social Care Services aim to deliver the following outcomes:

  • Improvements in quality of life Enhanced Social Care Services building independence
  • Greater choice, control and independence
  • Effective management of behavior
  • Reduction of risk
  • Good physical health
  • Improved self-esteem and self-worth
  • Social inclusion
  • Dignity and respect

Find out more about our Enhanced Social Care Services for adults with learning disability and complex needs

To find out more about our Enhanced Social Care Services; arrange a visit or make a referral to one of them, either click to make an enquiry online or if you prefer to speak to us contact our Key Relationship Manager on 0800 954 2497

Read more about our Enhanced Social Care Service

Typical patient profile for our Enhanced Social Care Services


Adults 18+


Typical patient profiles accessing our residential care home services

  • Primary diagnosis of Learning Disability
  • Secondary diagnosis of complex mental health needs such as personality disorder or challenging behaviour
  • May have a forensic background
  • Service users require a high level of support and supervision in a community setting

Typical referral route:

Referred as part of a pathway when stepping down from low secure or hospital care either in the NHS or independent sector hospital care. Or from failed community placements such as Supported Living.