George's story George had been living at a local care home, however, the home was closing and a new long term placement was required. At the time of referral, a capacity assessment had been completed and it was recorded that George lacked capacity to make this decision as regards his long term accommodation as he was unable to communicate his views as regards this. The Decision maker also confirmed that George had no family or friends who could be consulted as regards the proposed decision. A potential placement had been identified which was felt to be suitable as it was local to the area and to the day centre and it was also felt that it could provide for George’s care needs. The Decision Maker told the IMCA about George’s complex health conditions and needs and the IMCA met with George and his care staff. As George could not communicate verbally she spent some time observing his reactions to situations. The IMCA discussed the proposed change of accommodation with care staff who were of the view that it would be important for George to be supported by people who were familiar with his routine. The IMCA viewed George’s accommodation. Care staff were of the opinion that George would settle into his new placement if the room was similar. Staff also shared George’s care plans and records and explained that the care regime. They told the IMCA that during the transition they felt that George would require people who understand him and that they felt it would be beneficial for existing staff to support him with the transition over to the new service. The IMCA provided a report noting that the proposed home should be able to met George’s needs and best interests but in order to be least restrictive, the transition plans and support would also need to be very carefully managed. The IMCA also noted that the placement should be able to meet future needs/best interests in order to try and alleviate the need for further moves. It was decided that the move would take place with a structured transition.