Intensive support for a young adult with complex learning disabilities

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Case Study · Young Adult, Learning Disabilities

Intensive support for a young adult with complex learning disabilities

Service user B is an 18-year-old man with severe learning disabilities, autism (ASD) and ADHD. NL Group began with interim crisis support in early 2020; the package has since been adapted and scaled to 336 hours a week.

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A smiling woman stands behind a laughing boy in a wheelchair; below is a separate portrait of the same smiling woman in a navy blue shirt.
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Case Introduction

Severe learning disabilities, autism and ADHD

Service user B is an 18-year-old young man with severe learning disabilities, autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). He lives with his parents and younger brother, and needs intensive daily and overnight support to manage a range of complex behavioural and personal care needs.

NL Group began delivering care following a request for interim crisis support in early 2020, and the package has since been adapted and scaled to meet evolving requirements.

“Providing specialist, consistent care in complex cases like this makes a real difference — helping the individual feel safe, settled and supported every day.” — NL Group Team Lead

A woman gestures while speaking at a table; below, a man in a navy polo shirt smiles at the camera in a different indoor setting.

The Challenge

What Service user B’s care required

His needs were intensive and continuous:

  • High levels of anxiety that can result in volatile or anti-social behaviour, requiring consistent behavioural management strategies
  • 1:1 support at all times to ensure safety at home, in the community and while attending college
  • Full assistance with personal care, hygiene routines and use of the bathroom
  • Limited awareness of risk or danger, particularly outside the home
  • Encouragement to engage positively in daily activities and routines to support emotional regulation
A woman and a young boy sit on a couch while another woman in a blue polo shirt shows them something on a tablet.

What We Did

How the package grew

Feb 2020

Urgent Crisis Support

An urgent assessment, with care commencing on 12 February 2020 — 100 hours of weekly support.

Apr 2020

Scaled to 336 Hours a Week

The package was scaled up to include overnight care and seven-day support.

2020–23

Responsive to Change

Adjustments reflected changes in presentation, before returning to 336 hours a week by September 2023.

Since

Safe, Settled and Supported

Structured routines, safety supervision and positive behavioural reinforcement at home, in the community and at college.

The Outcome

“The carers have made a huge difference — their support has brought calm, routine, and a real sense of safety to our home.”

Parent of Service user B

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What Partners Say

In our commissioners’ own words

“NL Group Generally Manage Their Care Packages Very Well. They Took Over a Client That Had a Lot of Issues, and There Has Been No Issue with Them.”

Anita Broadwell, CHC Senior Clinician, East Riding of Yorkshire CCG

“For the More Complex Service Users, NL Group Is the Main Provider We Use in This Area.”

Diane Murray, Home Ventilation Service Lead, Hull University Teaching Hospitals NHS Trust

“We Often Use NL Group When Our Packages Are in Crisis; NL Group Will Stabilise the Packages and Return Them to Order.”

Head of NHS Funded Care, North Lincolnshire

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