@BelindaOkra what happened to your son and the hospital admission as a response to distress behaviour is just what is going to be the "norm" again if this sort of shit goes through.
The ONLY way this could be viable (and not just melt down the NHS further with trying to deal with the fall out, hospital admissions, self-injury and absolute avalanche of referrals from placements unable or unwilling to cope) would be if the regulators were given some SERIOUS FUCKING BALLS and the standards for what we consider acceptable within the social care industry were completely ripped to shreds and rebuilt from the ground up. No more having someone come once a week to sing bloody Vera Lynn songs (and I do not for the fucking life of me know why residential settings for younger people are still stuck thinking they're catering for war-era adults - but they do) and calling it an "activity".... a ban on fucking bingo being the only other activity for the week as well. Decent staffing, actual proper interaction with residents - both during the downtime periods of the day and also during mealtimes - actually catering to people's different sensory and communication needs... and an end to these huge homes and a move toward smaller group homes.
People able to go out and engage in activities THEY want to do and not just shunted into an activity that they can get a few people in the minibus and do together whether the residents want to or not, or a "no you can't go to the shop today because you only have 1:1 staffing timetabled on a Tuesday afternoon".
When done well - it works - but it requires time, it requires staff who WANT to engage (and there are homes I know of where the culture is absolutely fucked), it requires staffing consistency and - to start off with, it requires a massive leap of faith to change how things are done and rethink what some of the residents are actually capable of doing if you set them up to succeed and not to fail.
I'd also like a fiver for every time I go in somewhere and get told "oh they understand everything we tell them they just don't want to do it sometimes" - and I do assessment and find out that their understanding of language is actually nowhere near that level! I would be bloody rich.