What is going on in this house?

The NHS trust is trying to bring some money in, so they have opened a brothel many miles away. The women are the working ‘girls’, the man is their pimp/brothel security

I don't know what the current feeling on the specific phrase 'care in the community' is (it's not really used in current professional parlance), but if you mean the general policy of de-institutionalising people with learning difficulties and neurodiversities, and supporting them to live in their own homes rather than in hospitals, yes, very many people wanted and continue to want that. Not least the people with these conditions themselves (I hope you'd agree their opinion counts for something) but also their relatives, carers, professionals, support groups and charities plus also many politicians and disinterested observers. Mencap amongst others continues to campaign on this very issue https://www.mencap.org.uk/get-involved/campaign-mencap/transforming-care-homes-not-hospitals

I do agree there are a lot of problems with the system as it stands and of course no-one thinks it's a great idea if people with complex needs are simply dumped into a community setting with inadequate support, most of the problems come down to funding ultimately, lack of skilled carers, lack of system join-up, low levels of research and innovation in the learning disability field, failure to understand how physical health needs impact on learning disabilities and vice versa etc, I'm not pretending it's a bed of roses out there or that hospital or care home/institutional care isn't sometimes necessary, but I do find it depressing that some people on this thread seem to be implying that the answer to the problems is a return to wholesale and indiscriminate institutionalisation, bearing in mind the OP has given no indication that the man the thread is about is in any way disruptive or a threat to the general public by living as he does...

We had something similar near us. An elderly lady died and her detached house (fairly big) was renovated with high security fences and key codes etc. There is no signage but the local gossip says it is a home that looks after a very small number of disturbed children. There have been a few incidents in the community but these seem to have been resolved.

Did people ever want ‘care in the community’? It’s a nice-sounding expression, but I’ve usually heard it used sarcastically, in that the speaker believes people in need of care have been thrown out to fend for themselves. In the case of violent mentally ill people, this transfers the problem from the state to the rest of the population.

Please, people, don’t try to guilt-trip OP or call her nosy. As someone has pointed out here already, dangerous men do sometimes escape their carers and attack people. It’s reasonable to be aware and try to take precautions.

I worked in a service like this. One man with learning disabilities and challenging behaviour. Had his own very secure bungalow. Two members of staff at home, three when out in the community. I was involved in an education project, I met him a few times to support a functional skills course. He loved new people and was interesting and funny. The staff kept warning me about him, and regularly felt the need to restrain him, but I only ever saw the charming side. Very weird life for him!

Have you checked local planning portal to see what planning permission was recent sought for the house ? The high fences would usually require planning permission.

Oh I see. I inferred she did as you said:

It isn’t necessary to sell the home you are living in to access home care. My mother had 2.1 care when in the advanced stages of dementia and remained at home until the end with their help.

Whereas in fact in your mother’s case she didn’t have a home to sell.

It’s true you don’t have to sell if your capital is under the threshold and don’t require more than 4 x a day care. But that’s quite a low bar. Once you need more there’s no alternative to a care home - unless you have relatives kind enough to take you in.

Your mother is very lucky that you were prepared to look after her. My father, who has late stage dementia is currently living with us and it’s a lot. He’s very sweet though.

Some MH conditions are inappropriate for more traditional care settings though. As l said upthread, many families across the country are struggling with violent and disruptive family members, much of the time without little or no support, simply because there aren’t enough of these types of facilities available. In these cases it’s placements within more traditional care settings which would be risky, if not impossible.

I think this has been highlighted recently with the two very high profile cases mentioned upthread. Rather than being the fault of the disabled people in question they were as a result of fundamental failures in care and risk assessment.

I don’t think the poster was insinuating that you had said anything like this, but some posters were leaning towards it. And the provision of care for younger people with difficult to manage conditions is a very different conversation to that of elderly care because the needs are very different.

Another inflammatory poster
edited to say I can see you are also doing it to others, so I wont take offence, feel free to report my posts if you feel they are argumentative

Mum didn’t have a house to sell. And her income meant that she made a considerable contribution to her care package - LA care isn’t based on assets and savings alone. Having said that, the cost would have been considerably more to the tax payer had she needed residential care.

And yes, l acknowledged that we were lucky to be in a position to be available to help. Even the LA social care adviser admitted it was unusual because most families run a mile when they hear the word dementia. But l wouldn’t characterise the care provided by the LA as simply an addition. The services that were engaged were an integral part of her care as we are both in our later years and have health problems of our own. We couldn’t have managed without the support we had.

To move someone into a care home against their will is very difficult, and rightly so. As her LPA it was made clear to me that capacity is considered fluid and that all decisions l made for her should be at a suitable time to allow her as much input as possible - periods of lucidity were fairly frequent until the last year of her life and l had to take this into account. Clearly where there are safeguarding issues, then moving into care would be appropriate but IME with mum, her wishes were considered as far as possible.

Sorry, i didn’t mean to suggest that you said that, i meant the thread in general has people suggesting that. But i didn’t make that clear.

re your second point; the same is true for anyone who needs care. Most people who have LD or MH issues that require lots of care live in group residential accommodation. If that isn’t the case it’s for a very specific reason.
@Neighbourmystery I might have missed you replying, but how do you know that the NHS bought the house?
People are also assuming that this house was bought and renovated for this person specifically, when it could be that the house was purchased and renovated and this person just happened to be the next on the list for this kind of accommodation.
It could also be true that the person bought the house themselves from inheritance or a personal injury payout, and the NHS just provides the care.

More likely doesn’t mean its never women though, so my question still stands.

I’ve never said anything of the sort.

But discussion of the increasing numbers of dementia patients is an important consideration within social care. State 121 care is not available at home for elderly people for more than 4 short visits a day unless they require complex care. Once their money runs out they are generally put into care homes which can be very patchy in terms of care provision.

I did read the thread, it’s a moot point who was more argumentative tbh.

So essentially your mother was living with family - who are primary carers and the social care was simply in addition.

That’s a very different scenario from someone who lives alone. With later stage dementia 4 visits is nowhere near sufficient, they need someone with them 24/7.

For social care assessment the value of a person’s home is included as total capital if moving into a care home, but generally ignored they stay in their own home.

Your mother did neither - so I guess you didn’t sell her home when she moved in with you otherwise its value would have counted towards her total assets and presumably she wouldn’t have qualified for state care.

You certainly can move a person into a care home against their will if they lack capacity (assuming they actually understand the question). It may be the only way to safeguard them.

It would be LA carers and the funding would depend on the circumstances. If someone has their own funding pot they would be expected to contribute until they are below thresholds for funded care.

When I had already told them that I was talking about complex care, hence the dementia infirmity angle I took as their continuing argumentative posting.
have you read the whole thread? You would then see posts in a logical order

Same here, the vast majority of children Ive had under DOLs are female teens. Huge amounts of criminal damage and frequent assaults on staff.

Agree. I’ve seen it in my professional capacity. I’ve supported families living with adult children suffering from these conditions who are violent and family members have been repeatedly assaulted. Many have safe rooms where they barricade themselves to avoid harm during meltdowns. Support and provision is patchy across the country and these people are difficult to place into care settings, for obvious reasons. Often these secure assisted living places are far away from their original home towns - provision is non existent in some areas, and funding is complex.

@Neighbourmystery I’m glad you started this thread - I would be curious too if this happened near me. I haven’t read your thread as anything other than you being curious.

It’s also sparked interesting posts from people who have experience and knowledge of social care which hopefully will help educate some people who are ignorant about this kind of thing.

My experience was via disability outreach and support, and that included supporting those living with family members with a range of severe MH issues, Autism and cognitive/learning disabilities. Mostly they were adult children, often times much bigger and stronger than the parents. It’s my experience that the behavioural difficulties and violence these families endured at the hands of their relatives was determined by their condition, not their sex. The levels of violence were similar from both sexes.

I probably just have more going on in my life.

That’s an important point - certain posters seem to be making exactly that assumption. And there’s an underlying sense of NIMBY throughout the whole thread.