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1) Communication challenges
All but one of the LD patients lacked capacity to make decisions. Before the move to alternative accommodation, staff used taking mats and independent advocates for the staff to get an idea about their living preferences. Based on symbols/PECS
2) table 5
Body/pain awareness
Communication needs
Carers awareness
Carer response
Understanding and choice
3) initially there was an improvement, but in time it began to diminish. Changes were seen in the Carers awareness and Carers respones as they increased. This could be down to the loss of 'known' staff members with greater understanding of individuals, to more support from GPs and Social workers
who have only the use of Communication passports as a baseline, rather than knowing
the person themselves
4) there wasn't so much a focus on this
area and the majority of the
findings were the same, other than those noted above

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Lifestyle changes in moving to a community based setting from institutional 

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Lifestyle changes in moving to a community based setting from institutional 

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When moving individuals with learning disabilities show more determination but have chances of exploitation :(

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1)people with learning disabilities experienced many more health inequalities, missed out on assessments, diagnosis and treatments. This lowered their quality of life

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All 19 of the residents had a Learning Disability (genetic/biological).
• 8 people (42%) were functioning in within the mild range of LD
• 9 people (47%) were functioning within the moderate range of LD
• 1 person (5%) was functioning in the profound range of LD
• 1 person (5%) was not recorded

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1) Before the move people were exposed to health inequalities, experienced isolation and lacked capacity to make decisions.

2) the family, project team, owner and staff’s views were more considered than the individuals who lived there.

3) People were better off moving- there was a significant reduction in social determination of health inequality, it went down from 14 to 9. Individuals experienced increased levels of activity and engagement.

4) It is better to move individuals from isolating care homes to supported living, were they will be able to engage more socially.

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Importance of using HEF in different scenarios 

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Importance of using HEF in different scenarios 

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Analysing how different points relate to different transitions like moving accommodations or gaining / losing relationships ways to support can be adapted :-)

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When moving the residents were assssed and their care  need and planned how to support  then - Project team was set up , they worked  with families, staff and the residents to come up with the best and necessary support .
Most resident received Community based care - supported living. For some the transition was challenging , however  the planning before the moved  had positive effects.

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For your given determinant, please consider the following:

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For your given determinant, please consider the following:

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1) Brief background - what was the situation pre-move?
2) Context - what aspects were reviewed in this determinant? Where did individuals move to?
3) Summary of findings.
4) Take-home conclusion.

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18 of the residents who moved from the care home were assessed to lack capacity due to their Learning Disability which significantly impacted the way that they would be supported in their new accommodation. But those who did lack capacity were encouraged to take part in their care and choice in future placement.

Although learning disabilities are biological, this can have an influence on the other determinants.

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A geographically isolate location, away from family's and surrounded by similar faces.

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HEF score doesn’t account all things .
Scores shows Non significant change for access to high quality service. However  connections like  assignments to learning  disabilities nurses  which will help in the development of accessing support from health and social care services .

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Want more information about your determinant from the HEF?

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Want more information about your determinant from the HEF?

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See page 31 onwards in the attached HEF guide.

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The changes observed in the genetic and biological determinant (Z= -0.024, P=0.981) were statistically non significant.

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Diet, exercise, weight, substance use, sexual health, risky behaviours.

Individuals moved to various different places with varying levels of support.

They all moved closer to family members and back to the UK bar one?

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•Specialist LD services and Community LD Nurses had a significant impact on the statistical reduction in the HEF indicators.

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People moving from institutional settings and socially isolated environments can reduce their exposure to health inequalities in social and lifestyle behaviour determinants. Usually in the beginning of their move ＼(^o^)／

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Behaviour is closely linked to biology and genetics - there was a statistical reduction with sexual behaviours of residents being controlled by enhanced supervision.

Individuals with learning disabilities have a better quality of life in supported living compared to institutionalised settings.

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Although improvements after a move are positive these can plateau and fade away after time.

It also raises issue to the fact that healthcare needs may not fully be met in community settings =( (sim does not like frowny faces)

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We can take home the areas that need the support.

The need for continued use of hef

A way to continue to build on their success after leaving the institution.