What is going on in this house?

Because you keep banging on about him being 'healthy and able bodied', when you know that people will mental health issues can need carers too.

That and the fact that assuming you aren't non verbal, you can quite simply ask a carer what the building is being used for nowadays 🤷‍♂️

Every need . He clearly has other needs that aren't physical.

Could be someone with a brain injury, commonly their care comes from NHS rather than social care. They can look normal and able but sometimes have very unpredictable behaviour, which would explain the 2 carers.

I agree, but some photos would be useful.

I think almost all of us would be curious if we lived near a house like this. My guess is that it's someone with autism or some cognitive issue who wants to live independently (ie outside of group living) but needs considerable support. Its possible that they were living independently and got mixed up in some county lines type thing, hence having to live outside of the area.

Although I would imagine that the idea of independent living would be to come and go as you please which doesn't really seem to be happening.

An extremely small number of people get this type of care because as you say it's so expensive. My understanding is it would normally be people who have been very long term inpatients, eg in secure psychiatric units. There's specific funding and policies for getting people who have been in inpatient care for 5+ years out of hospital, for example (these are referred to as Transforming Care patients). Some of these will be forensic patients. Also compared with the cost of inpatient care long term my understanding is it's still cheaper although I don't know how exact costs compare.

If you look at the council planning you may see a change of use application. Does sound like assisted living to me. I’ve had dealings with witness protection in the past and the houses they go to are normal properties

I would have thought that was more expensive, especially just for one person at a time - I don't know though. It's definitely more dignified - if they aren't ill and haven't committed any crimes, it's only fair they aren't "confined". I just didn't think the NHS had much money for dignity, sadly. If it is the case imagine it must be someone who can't live alongside housemates because supported living is often communal, especially at the ratios you describe.

I'm a nosy cow, this would have me intrigued too. I have my work desk facing onto my street just to I can be nosy, but sadly there's very little of interest near me. We did have armed police out at xmas though, and a woman a few doors down who really enjoys a good screaming match in the street with her man of the month but she has been very settled of late.

In seriousness, there is no harm in asking - the staff should have a standard answer without compromising anyone's privacy.

Well the one across the road from me is just one person and four carers although it's 2 at a time. it is much more common than you're suggesting I also know people who work supporting people in supported accommodation falls back it all depends on what care package they can access.

This would also be my guess. In terms of it being bought by an NHS trust far away, sometimes commissioners struggle to find a care provider locally who are equipped to handle the patient - housing costs can also be a factor if the house has been purchased specifically because I think the 'rent' often has to be under a benefit threshold? But also if it's post discharge care eg section 117 aftercare, I think it has to be funded by the area where the person is discharged, but that isn't necessarily the best area for them to be in e.g. if it's not where they're from/where their family is. Ideally people will be located close to their support network but that doesn't always happen.

Yes, also wondering this!

Hearing about these houses mentioned on the thread with one person and 4-5 nhs carers I’m wondering how it’s decided that a person needs and gets this super expensive package while so many others struggle to get minimal help or care and others are living in bigger group residential care settings. What would make someone able to get such an extraordinarily attentive and expensive set up? Genuinely curious! (Also curious about OPs neighbours on her behalf! I’d definitely be wanting to know if it were me and I don’t consider myself particularly nosey!)

Find it crazy that the state would incur these costs for 1 person. House, reno + multiple staff... will cost several millions over a lifetime! I always assumed people that needed this intense care would be in some kind of secure hospital.

Sounds a bit extreme for 1 man,he could live in sheltered housing, no way a place would be bought by a health authority, have extensive work for 1 man!

He's "healthy and able"? So doesnt need carers is that what you mean 🙄

Its possible that he has criminal conviction for something serious & also has a serious mental health condition which means he cant be left alone as he's too much of a risk to others so he needs to be monitored 24/7 for life. If he has served his sentence, is not able to be sectioned but still isnt safe to live freely amongst the general public, his local NHS trust will have the responsibility for keeping him safe and secure. It was probably cheaper to buy somewhere else rather than where he is from or it may be that whatever he has done means that he cannot live locally to where he is from anymore.

Either way, if he has no physical disabilities then it will more than likely be mental health related and to ensure that he causes no risk to others.

And I would also be really curious about this if it happened on my street - most people would be.

I worked with an agency nurse and she told me of a similar situation that was her next job. It was a house with one client and a minimum of 4 members of staff at all times. It was a very intense situation and she didn’t take shifts there very often as it could be all agency staff so it was a bit chaotic and the client could get triggered and become violent very easily. I have to say i was fascinated and I couldn’t believe the costs involved !!

You’ve got that close to see their lanyards ? I’d wonder why they are wearing them if it’s just him and them ?

Yes as @WhatsUpWithGene says definitely some form of LD/Autism.
it is cheaper to buy a community home and staff it rather than keep someone in secure care plus much nicer for the person, least restrictive option