Roy has ADHD and learning difficulties. Roy was referred for advocacy when he was served notice on his supported living placement (a one bed flat). Roy had lived at this supported living placement for 7 years. Roy was declining all options offered to him by Adult Social Care. Roy was deemed to lack mental capacity to make a decision about his accommodation.

Roy liked to go out at night, and was described as a night owl. He loved to ride his motorbike. He used his money to buy cigarettes, petrol for his bike and gamble. He was good with his personal care but was unable to cook, clean or manage his medications. Roy had destroyed things in his flat and often knocked on neighbours’ doors asking for money and cigarettes at night. Professionals felt Roy needed a 24-hour placement with waking night staff.

Kyle, a POhWER IMCA visited Roy on two occasions and learnt that he was living in squalid conditions and despite the best efforts of staff to support him - he would not engage. 

Kyle spoke to Roy about his living conditions and the things that were important to him. Roy told Kyle that he needed support with cleaning and for meals to be provided for him. Roy told Kyle that the most important thing was to be able to go out on his motorbike. Kyle discussed housing options with Roy. Roy agreed to visit one of the options and Kyle arranged this for him. The option Roy visited was a room in a residential home. Roy said he liked the idea of one room, as it was less to keep clean.

Roy told Kyle he was happy with the move to go ahead. Kyle felt this was in Roy’s best interest and fed this back to the Adult Social Care Team.

Kyle also made the following recommendations as part of the planning and transition process:

  • For Roy to have a keyworker who understands his conditions and can engage with him (Kyle felt this was particularly important because Roy had just lost his mother, and was about to lose his keyworker of 7 years). 
  • For Roy to have access to support services to help him process his grief.
  • For a plan to be made to manage Roy's contact with his sister.
  • For Roy to have 24 hour access to the community
  • For Roy to have nighttime access to the property – waking staff to be available to let him in promptly to avoid waking others.
  • For opportunities to engage Roy in the community to be discussed with him. Consider education, training, voluntary work, community groups or employment – perhaps something to do with motorbikes.
  • For the new placement to be reviewed after 8 weeks with a new referral made for IMCA to be involved.
  • For review of Roy's Care and Support Needs with involvement advocacy under the Care Act, a referral should be made to POhWER for this.