Arnold House is a specialist, community based service for adults with Autism, Learning Disabilities and Challenging Behaviour.
Based in Llanddulas, Conwy; Arnold House is located on the coast and a short distance from the sea, Snowdonia and all the attractions and amenities of this beautiful location.
Arnold House is committed to:
- Providing excellent quality residential care for service users with Developmental Disabilities.
- Promoting the welfare and well being of all service users residing at Arnold House.
- Promoting the independence of the service users residing at Arnold House.
- Enabling the service users residing at Arnold House to enjoy the same opportunities as other people.
- Treating the service users residing at Arnold House with dignity and respecting their right to a private life.
Each service user at Arnold House has a learner Centred Curriculum and accesses a highly individualised educational program targeting specific learning needs, interests and aspirations. This curriculum is based upon the key concepts of developing respect, self-determination, inclusion and the fostering of relationships. Each service user's educational curriculum contains elements of the following:
Service users are supported in continuing to learn skills in the area of functional literacy, communication, numeracy, ICT and independent living skills. These are taught through structured activities, with the support of mainstream colleges through everyday learning opportunities so as to promote the learning and purposeful application of skills. Learning is based within Arnold House and local community facilities, for some service users this may include links with local college provision. Service users can achieve accreditation for their achievements and experiences.
Independent Living Skills
Service users are supported to be actively involved in all aspects of their daily routines and lives. They are supported to make choices and develop greater control and autonomy over what they experience and daily routines and events are structured and planned in order for them to become as independent as possible. This aspect of the curriculum is key to promoting and preparing for future transition into community living. Learning opportunities are structured within real life contexts and provide the opportunity for personal choice, independence and autonomy. Service users can achieve certificates that recognise independent living skills, wherever possible these are mapped through to the Adult Core Curriculum, thus embedded basic skills is a part of everyday living.
At Arnold House we aim to promote service user's skills in independence, choice and inclusion. Individualised curriculum planning promotes the development of skills in order to be able to do this as fully as is possible. Service users may need to learn to tolerate changes, routine, demands and everyday events and places which they may ordinarily find challenging. We foster a strong commitment to enabling our service users to access all the usual provisions and opportunities that are ordinarily available to people, however we may need to teach the skills necessary in order to be able to do so. We work closely with our Behavioural and Care teams in order to structure the development of skills necessary to promote access to daily life experiences. Our service users are involved as fully as possible in identifying their needs and aspirations so as to ensure these are functionally and personally relevant and we promote the input of families, friends and advocates in this process. Again embedded basic skills are identified in life skills, this enables service users to receive certificates that celebrate their learning.
Personal & Social Skills
We aim to support service users in developing effective and productive personal and social skills that are relevant and useful across a range of settings, including across family, friend and community networks. Our focus is upon providing and developing the means, reason and opportunity for service users to become independent, to communicate and interact purposefully with others. By focusing on the development of personal and social skills we aim to promote inclusive daily living experiences where service users can make choices, are welcomed and can participate with those around them.
The service users will be encouraged to have an active social life and be integrated into the local community. Hobbies or interests (such as sport, leisure, dancing, music) will be encouraged. The service users residing at Arnold House will also be encouraged to join in local community life; such as attending clubs, walks and shopping.
Applied Behavioural analysis
ProCare uses the principles of Applied Behaviour Analysis (ABA) when supporting individuals with Learning Disabilities and challenging behaviour. ABA is a structured system for teaching new skills and promoting positive behaviours. Each skill is broken down into small, manageable tasks. The Service User is rewarded for achieving each new step towards their long term goal. As the Service User progresses, the level of support is reduced and independence is increased. The progress is carefully monitored to ensure the right level of support is given and the results are recorded. Overall, ABA gives us the tools to target the skills and behaviours that are identified as important for each individual.
Challenging behaviour is defined as behaviours that put the physical safety of the person or others at risk or could result in the individual being denied access to community facilities. Challenging behaviours are not fixed; the majority are learned and therefore can be changed.
At ProCare interventions are uniquely tailored to the individual. The behaviours targeted for change are chosen through consulting with the Service User, their family and key professionals. Sound analysis is carried out to identify what are the motivating and maintaining factors for the behaviours. The main purpose of a prior behavioural assessment is to accurately identify these variables.
Staff are therefore well versed in collecting information regarding:
- A definition of the challenging behaviour in question:
- An assessment of the antecedent (i.e., what happens before) events:
- An assessment of the consequent (i.e., what happens after) events:
Initial behavioural assessment is a highly structured process designed to inform placement decisions, expectations of the placement, and guide interventions at the start of the placement. However, it is worth noting here, that through our experience, we fully recognise that challenging behaviour can occur for very complex reasons, and there will be individuals for whom those reasons remain unclear, even after a functional assessment has been carried out. Nevertheless, even plans based on tentative theories can prove useful in the long-term. In situations such as these, consistency amongst the staff team is paramount and the management staff at ProCare have extensive experience of containing anxiety and concerns in teams where complexities exist.
Behavioural Management Plans
It is from full and detailed assessment information that support plans containing proactive and reactive strategies are developed. Procare is committed to implementing the Active Support Model within ProCare's Behavioural Support Service which facilitates maximum levels of independence for any individual, regardless of physical and/or intellectual difficulties. Again, however, it is important to recognise that Procare contains recognised specialist skills in understanding and managing complex risk management decisions which can be frequent when dealing with complex presentations. Again, we have experience of being part of an MDT where detailed risk management plans are formulated and implemented which may include placing restrictions in people's lives in order to manage risk in the short term. This has been highlighted in some of our work with challenging behaviour which has a forensic element. We also have experience in contributing to capacity assessments, deprivation of liberty safeguards, looked after children meetings, protection of vulnerable adults safeguards etc.