A Change of accommodation is needed Diana was referred to the IMCA service by her Social Worker as a decision needed to be made as regards her long term accommodation on discharge from respite care. The IMCA noted that no formal capacity assessment was available and she requested that the Decision Maker should record this assessment, which was done. Diana was recorded as having no family or friends who could be consulted in this decision and was therefore entitled to the statutory support of an IMCA as regards this decision. The IMCA visited Diana and introduced herself and tried to explain her role. The IMCA could see that Diana was upset and did not want her to become more anxious and so tailored her support and questions to avoid this. Diana said that she wanted to go home and repeated this a number of times. She mentioned her previous home and her feeling about this. The IMCA accessed Diana’s care home records. From the information gathered, the IMCA ascertained that it appeared that the level of care Diana was currently requiring was 24 hour. The IMCA report noted that any placement should be able to meet Diana’s escalating needs in the light of her progressive condition, adding that it is likely to be against the Mental Capacity Act principles for Diana to experience multiple moves. The professionals felt that a specialist placement was required. The IMCA said that it should also be ensured that the situation was communicated to Diana as clearly as possible and that time be taken to do this. The IMCA also noted that Diana’s personal items should be expediently transferred to her new home so that she would have these around her on discharge. A placement was found and after further discussions and assessment it was felt that this would be suitable for Diana.