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Improving quality of support and staff culture in a supported living service: a practice example of tier 1 positive behaviour support

Hardiman, Rebecca Lyndsey and Harding, Cathy 2025. Improving quality of support and staff culture in a supported living service: a practice example of tier 1 positive behaviour support. Tizard Learning Disability Review: Practice, management, research and innovation 10.1108/TLDR-01-2024-0002

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Abstract

Purpose This paper aims to describe the approach taken to identify areas for development and to enhance positive practice, in line with a preventative tier 1 positive behaviour support (PBS) approach. The work was conducted within a supported living service, where 10 individuals with a learning disability reside. Design/methodology/approach The intervention was provided through a dedicated behavioural clinical specialist role over nine months. An initial assessment included measures evaluating PBS, active support and staff culture. Narrative themes were also noted from discussions with staff to deepen the understanding of informal staff culture. Together, this informed a programme of work guided by the setting of both individual and service-wide goals. Input included practice leadership, staff training, review of PBS plans and delivery of case workshops. Assessments were then repeated to evaluate the work completed. Findings There were indications of improvements in staff culture and practice following the intervention. Originality/value This practice example may be useful for other organisations to consider when thinking about how to use resources effectively to improve people’s quality of life and implement tier 1 of PBS provision.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Psychology
Publisher: Emerald
ISSN: 1359-5474
Date of First Compliant Deposit: 4 February 2025
Date of Acceptance: 13 December 2024
Last Modified: 05 Feb 2025 11:45
URI: https://orca.cardiff.ac.uk/id/eprint/175912

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