Recommendation ID

Factors associated with sustained, high-quality residential care:- What factors (including service organisation and management, staff composition, training and
supervision, and the content of care and support) are associated with sustained high-quality residential care for people with a learning disability and behaviour that challenges?

Any explanatory notes
(if applicable)

Why this is important: - The quality of residential care for people with a learning disability and behaviour that challenges remains an issue of national concern. Reviews (most recently of Winterbourne View Hospital) have identified failings in care. Although recommendations have been made this has not led to a significant and sustained improvement in care. It is important to understand how improvement can be maintained.
The question should be addressed by a programme of research that includes:
- a systematic review of the factors associated with sustained and beneficial change in health and social care organisations
- designing service-level interventions to support the implementation of standards of care developed from the systematic review
- testing the clinical and cost effectiveness of service-level interventions in residential units through the formal evaluation of a quality improvement programme established to introduce the new standards (the follow-up period should be for a minimum of 3 years after the implementation of the intervention).

Source guidance details

Comes from guidance
Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges
Date issued
May 2015

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No