Nvq 5

Unit: 15
Kamran Iqbal
Be able to develop the physical group-living environment to promote positive outcomes for individuals.
1.1 Group living can include facilities for adults with significant personal needs in residential homes, nursing homes or shelter/extra-care housing. It can also include specialist rehabilitation services for people with neurological problems where the focus is on therapeutic interventions. A further example is rural communities for people with learning disabilities or with mental health needs that provide a shared community life. It is estimated that approximately half a million people use these services, the majority being older people (Bowers, 2009).
Today group living provision come in all shapes and sizes, not ‘one size fits all’ as with the traditional services offered in the past, such as the workhouse or asylums.
Thankfully with the introduction of the 1990 NHS and Community Care Act, a more community based approach to care was founded. With the introduction of the personalisation agenda and person-centred care, supporting the independence and autonomy of the individual has become best practice. For some individuals who require more substantial support, it may still be necessary that they live in a group living environment. These provisions should continue to support the individual’s independence. Where possible and enable and assist the individual to achieve positive outcomes.
The understanding of effectively managing a group-living facility can be enhanced by an appreciation of some of the theories that have informed debate on these services. Wolfensberger (1975) identified some of the negative features of large-scale institutions, where individuals were segregated from society, often kept in degrading conditions and treated inhumanely. From his knowledge of institutional care, Wolfensberger developed the concept of ‘normalisation’ which encouraged the closure of large institutions and their replacement by residential homes...