What is going on in this house?

In our close, if so much as an unusual car turns around, you can see all the neighbours' heads popping up and down at the windows like some sort of Whack A Mole 😂 😂.
My DH is usually the first up.

NHS do sometimes provide carers, or even occasionally constant mental health nursing, and they do sometimes contribute financially with mental health, learning disability and autism etc packages.

Wouldn’t be nhs carers though would it? And the government/council/etc aren’t usually so helpful so as to do up a house and provide live in support in an entirely different county for one seemingly able-bodied person. Usually people are begging for basic care even when in dire need.

I have worked in a similar area (although don't think I'm as experienced as you) and also have family experience. I totally agree with a lot of what you're saying. There have been (highly restrictive) "community care" packages that I've seen that - in my personal opinion - offer a much shitter quality of life for the person involved. They also sometimes cost more than some hospital placements, although that is really not as important as the truly crap life they lead in order to be in any way safe "in the community". "In the community" sometimes just literally means not in a hospital, so sometimes that means basically only seeing care staff.

Sometimes it's just a complete farce.

Surely there would have been planning notice submitted when this was built and extended? That will tell you what the property was built for. Have a look on the council planning website.

And he works down the chip shop !!

Thank you for taking the time to respond. What you’ve said makes a lot of sense. I wonder whether things will go back to care not-in-the-community, except for those properly assessed to being best placed for it. So a halfway house (pardon the clumsy pun) between what we had before and what exists now.

Interesting about the fence being made higher and the frosted glass put in. I would be curious too, OP.

As they’ve had work done, you could look up the planning permission online to see if that gives you any clues.

People who experience a brain injury that leaves them unable to behave appropriately, may well receive compensation that effectively provides care for life, of this kind. I have no personal or professional experience of this, but a friend was providing therapy to someone in that situation. A massive pot of money to provide care at a high standard, because of compensation/insurance after a life changing injury.

Did we come to an answer? Hrtft

The darkened screens in the van could be for something as simple as a person who has photosensitive epilepsy or it could be so personal care can be delivered quickly and with dignity. Our vehicle has privacy glass and curtains because it holds a changing bed and overhead hoist for when we are out and about, finding places to change an older child/adult who needs personal care isn't always easy so our van is our changing area. Someone with epilepsy might need a darkened area in which to recover after a seizure.

Would the NHS in "Liverpool" send their own staff/uniforms? Wouldn't they commission the local NHS to provide the care?

That's how it works in Children's Services anyway. Local authorities pay each other for children placed in the area.

1 - He has very high, very specific care needs that mean seeing the outside and being able to get out easily isn't a good idea..

2 - ditto, but he's in witness protection.

So the NHS involvement but out of area could be as a result of witness protection or, because its a much cheaper area to house him in. I favour the witness protection theory myself because I doubt you'd have to go THAT far to get cheaper properties, assuming the real location of the NHS trust involved is a comparably long way from the house location as your fictional examples are.

Wouldn’t you want that for your loved one if it was the best and safest option for them?

Mos likely he either has mental health issues or a learning disability.

I'm thinking it's bespoke secure assisted living accommodation for someone who's not safe to be in the community but there's nowhere else to house him. He could be physically ok but may have severe learning difficulties and be dangerous to himself and others. Probably hasn't committed a crime but there's a risk he could.

The accommodation is probably built with future residents in mind as well.

I would say this. They might not be a danger but also might not really be able to function in society. Especially if their crime was caused by psychosis etc. They will be medicated. Then one carer wouldn't be permitted to do the job alone so there's 2 of them.

It would seem perfectly normal to me to strike up a conversation with the new neighbours or their visitors/staff.

If it's being used as a halfway house or something, wouldn't that need a change of use planning application?. I know there was one here when a house was changed to a children's home, even though it was only to care for three children.

I’d be intrigued too. Have you tried checking the CQC website to see if it’s registered there?

Oh and he may not have someone advocating for him at all, he might just have been so dangerous to others or so at risk from others that the only way to support him is this. If he could live with others in a facility or home, he would do, which suggests he needs a solo placement for others' protection

You can’t tell someone’s health status by looking at them. It’s likely they have complex learning disabilities and need 1:1 support ..which is expensive ..are they in a cheaper property area? They may have been targeted in their home community. So generating gossip about them would be highly unwelcome for the public good and safeguarding this person.

To Kill A Mocking Bird

If its assisted living, why have nhs staff from a trust hundreds of miles away?

Is the NHS Trust in an expensive area and this is a cheaper area? Might have been more cost effective by hundreds of thousands to buy and adapt a property in a less expensive postcode.

The fact the NHS carers live in the property mean they can be hired locally by the NHS Trust. Similar to me if I worked in the UK for a US company based thousands of miles away.

No I dont think its a good thing. I started working in MH just as Care in the Community was taking off, hospitals closing. 'Day centres' 'support groups' were the replacement.

People were too ill to live independently but of course they're not 'ill enough' to remain in hospitals. So they live chaotic and disconnected lives sometimes causing harm to themselves through accident or self neglect, sometimes causing harm to others by dysregulation and lashing out. Usually small scale. Usually criminalised.
Im including people with conditions which also are not strictly speaking MH issues but which are usually comorbid associations so ASD, LD etc

Care in the community was politically convenient as its cheaper on the surface and done under the guise of empowerment and indivdualism, service users having choice and agency and moving away from instutionalising people.

I dont minimise those concerns but believe me, it is not better now. And its costing the country a fortune. For every penny saved on a care home setting, you can times that by 10 in terms of housing pressures, police, social care, affect on the wider community, affect on relatives who often have violent and high need adult children living with them at home meaning their parents or relatives are unable to work/have MH conditions themselves caused the stress of managing this.

I could go on but theres too much to say about it.