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Adult Disability Services

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The service is available to adults over the age of 18 who have significant difficulty with intellectual functioning, communication and/or daily living skills.

Referrals can be made by your GP, family or Health Care professional. More information can be found here.

For Adults 18 and above to access any area of the Adult Disability Service you will need to contact the team at St Martins Community Centre by calling 01481 224010or by email

  • Extra Care Housing - supported living 

    • The extra care housing scheme offers residents a range of care and support services delivered to their door. These include a hairdresser and restaurant which are also open to the public, delivered by an on-site care and support team. These sites are at Le Grand Courtil, St Martins, and at La Nouvelle Maritaine, Vale.
    • Supported living is provided in part of Le Grand Courtil's scheme by Adult Disability Services. This provides assistance to individuals with learning disabilities, helping them to manage daily life whilst living independently in their own home. The level of care and support will vary depending on the need of the individual. The flats are suitable for individuals and couples, with the opportunity for families to live close to one another.
    • Le Grand Courtil features assisted technology with alarms in every room as well as specialised technology for individual residents. This technology promotes; independence, privacy and dignity to individuals who live in Le Grand Courtil.
    • To receive extra care housing, residents:
      • Must be at least 18-years-old
      • Are qualified to live in Guernsey
      • Need at least four hours care each week
      • Are living in accommodation unsuitable for their care and support requirements
    • The Adult Learning Disability Services provides residential care and support for people with a variety of needs, with 24-hour care where necessary at several sites:
      • Shotley Villa: Shotley Villa accommodates people with varying degrees of learning disabilities, sensory and physical disabilities. A full time table of activities are available for residents ranging from assisted work to social activities.
      • Les Alouettes: Les Alouettes provides care and support to individuals with physical and learning disabilities as well as mental health issues. This service supports those living in their own homes within the community. Every service user is actively supported with an individual care plan.
      • Sunnybrook Sunnybrook provides 'shared care' working with families to provide short breaks. Bespoke support services are provided to individual service users living in their own accommodation. Close working with Occupational Therapy and Physiotherapy supports this service. Every service user has an individual care plan and is actively supported.
      • Chateau Reve: Chateau Reve is home to service users with severe and profound learning disabilities, complex physical and sensory disabilities, and behaviour that challenges services. Supported by Chateau Reve Staff, the range of daytime activities includes visiting the community and using the facilities of the property.
      • Beauville: Beauville supports service users with a variety of needs. The majority of care provided is outreach and in reach supporting individuals who live in their own homes, extra care housing and generic residential/nursing homes.
      • Pedvin Street: Pedvin Street is a HSC property consisting of a number of bedsits. The outreach staff are present for most of a 24 hour period and encourage individuals with active support approaches. The service strives to enable residents there to move to more independent living within the community housing stock.
    • Outreach support team: Outreach services support a number of people at different places across the island. Most live in either private tenancies or Guernsey Housing Association (GHA) properties within the community, for example in extra care housing. The Outreach support team works in partnership with individuals who need help, their families, and the multi-disciplinary team with care tailored to their specific needs. An all-round view is taken to give them choice, independence and a community presence at all times.
    • The service can accessed via referral from a GP, Healthcare professional or to the Community Learning Disability service, where individuals care and support needs will be assessed and referred on to the appropriate team. The Community Learning Disability service is based at the St Martin's Community Centre, St Martins, GY4 6LL. Tel 01481 224010 or email
  • Community Specialist Disability Team

    • A specialist team of individual professionals providing assessments, advice and intervention for adults with a complex physical, neurological or sensory disability.
    • The team consists of:
      • Disability Lead Nurse - provides holistic assessment of need, complex case management, specialist advice to individuals with complex health needs and carer assessment and support.
      • Specialist Support Worker - provides specialist support to service users under direction of the team.  Implements short term interventions to enable and empower independence towards specific agreed goals.
      • Specialist Disability Social Worker - provides advice and support, including carer assessment and support, specialist assessment of social needs, including housing, benefits, finances and employment and complex case management.
      • Clinical Nurse Specialist MS/Parkinson's/MND - provides specialist advice to individuals who have been diagnosed with MS, Parkinson's and MND with regards to their diagnosis, symptom management, medication monitoring and treatment protocols.
      • Advanced Disability Occupational Therapist - provides holistic assessment to people with long term, progressive neurological conditions including Motor Neurone Disease, Multiple Sclerosis, Parkinson's, Huntington's and Ataxia to maintain personal independence with daily routines, specialist equipment, major adaptations and environmental advice and recommendations.
    • Referrals can be made directly to the Community Referral Coordinator Tel: 01481 223904 or email:
    • The Community Disability service is based at Community Services at the Castel Hospital.  Tel: 01481 223020
  • Community Learning Disability & Autism Team

    • The Community Learning Disability & Autism Team provides specialist health and social care services for adults who have learning disability or autism. We work alongside the person, their families, staff and other agencies to enable people to access mainstream services by providing advice on reasonable adjustments. We also provide direct clinical and therapeutic support to people with learning disability or autism with complex needs who require specialist services. We aim to work in a person-centred way by keeping the wishes and needs of the individual as a focus of everything we do. 
    • How to access the Community Learning Disability & Autism Team:  People are usually referred by another health or social care professional, however we accept self-referrals or referrals from a next of kin with the individuals consent. 
    • The team is made up of:
      • Team Manager
      • Community Support/ Therapy Assistants 
      • Positive Behaviour Support Practitioners 
      • Occupational Therapist
      • Physiotherapist
      • Social Workers                              
      • Transition Co-ordinator (for young people aged 14-21)                  
      • Clinical Psychologist   
      • Community Learning Disability Nurse
      • Speech and Language Therapist 
      • Administrative support 
    • There is no cost for this service
    • Contact the Community Learning Disability Team on: 01481 224010 or email:
  • Day and Short Break Service

    • Who can use the Service? The Day Service currently supports adults with learning disabilities from the age of 18 to 65 who have a learning disability and who live in the Bailiwick of Guernsey.
    • How can I get help? After an assessment a referral is made to the Adult Learning Disability Team, where a decision will be made based on the specific needs of the individual.
    • What do we do? The Day Services focus on the shared goals and outcomes of the people we support, providing personal, focused and flexible support. Through a wide range of activities we provide opportunities for people to take up new challenges and experiences. Through the Partnership of Purpose we work closely with the people we support, their families, other professionals and local partners to deliver effective services centred on people's individual needs, whether for a few hours or a few days a week.
    • Users are encouraged to make full use of their community such as the Day Service base, outdoor environment, shops, library, leisure centre, cafes and pubs. This inclusive community engagement nurtures confidence and enhances well­being.
    • The service is available Monday-Friday, 10am-4pm
    • Contact the Day and Short Break Service on: 01481 224028
  • Drop-ins

    • The Drop-ins are for adults from the age of 18 who have a learning disability, and who live in the Bailiwick of Guernsey. After an initial meeting with you, we register your details and explain how the Drop Inns work. Once registered and we have agreed the Drop Inns are suitable for you, the idea is that you can just turn up.
    • What we do and where they are located - Drop-ins provide various activities and opportunities and are a great way to meet other people; have a chat, if you want to, try new things, make new friends and have fun.
    • There are five Drop-ins a week based in various locations around the island:
      • Monday - Rovers 10am - 1pm 
      • Tuesday - Rovers 10am - 12.30pm
      • Wednesday - Rovers 2pm - 3.30pm
      • Thursday - Rovers 10am - 1pm
      • Friday - Rovers 10am - 1pm
    • Activities include - Computers, pool table, air hockey table, puzzles, arts and crafts, magazines. Refreshments are available.
    • How much does it cost? The Drop-in costs £2 for each meeting.
    • If the drop in is until 1pm then you can bring a packed lunch to have there.
    • The learning Hub sessions need to be booked onto as the current space is limited. Please contact John (details below) to discuss the upcoming sessions and to request a place.
    • Please can new Service Users be referred to day service staff before attending, as not all drop in's may be suitable, they vary in noise levels and activity, we are changing our format on how service users can attend, a full referral now maybe needed.
    • Please contact the following for more information on:
    • Tel: 01481 224028
    • John Le Sauvage - Team Leader and Learning hub co-ordinator
    • Lucy Slimm - Senior Day Service Officer
    • Tammy Hannaford - Therapy & Enabling Team Manager
  • Short Break Service (Respite) Services

    • The Short Break Service provides respite support to adults aged 18-65 who have a learning disability, who either live at home with family or carers.
    • How do you get help? People can access the Short Break Service following a referral which is then discussed by the Community Learning Disability Team.  Referrals can be self-made, in-service or via external agencies, such as GPs.
    • What we do We focus on one-to-one support, helping people who use the service to meet some of their dreams and aspirations. We work with individuals, their families, carers and other services to help meet the needs of those we support.
    • Support can be provided in various ways, depending on the individual's requests and needs either:
      • In one of our respite units
      • Outreach style support to access community events
      • On and off-island holidays
      • In the their own home
    • Contact the Short Break (Respite) Service on: 01481 233215 or 01481 223991
  • Supported Employment

    • Guernsey Employment Trust provides support to help disabled people find employment. They also work with employers to help develop a more inclusive working environment.
  • Wheelchair Services

    • The Occupational Therapy Service offers advice to make sure that you receive a wheelchair that is suitable for your needs.
    • Some of the things the Occupational Therapist will talk to you about will be:
      • Assessing your needs and talking about the activities you will do when using the wheelchair and where you will use the wheelchair.
      • Advising you on the wheelchair type/model that meets your needs.
      • Signposting to the funding sources available to buy the wheelchair.
    • Your Occupational Therapist may involve the Wheelchair Specialist Occupational Therapist and others if the wheelchair is complex.
    • Your GP or any health and social services professional involved in your care can refer you to the Occupational Therapy Service by contacting Adult Community Services on Tel: 01481 220000 ext 25325.
    • There is no charge for the assessment, but the cost of the wheelchair is not included. You may be able to get financial assistance from Income support .There are some charities which may fund the wheelchair but each charity has its own process.
    • The Occupational Therapy Department is open Monday to Friday 8am - 4pm and can be contacted by phone, tel: 01481 220000 ext. 25325.
  • Positive Behaviour Support (PBS) Team

    • How can I access this service, is there a cost? Who do I contact? The PBS Team offers help and support for adults who have a learning disability, who present challenging behaviour. The team works with individuals to find out why they present with challenging behaviour and work with support teams to develop positive support plans. The team also trains and coaches staff to develop their knowledge, and provides direct support to people who have been referred to help them achieve specific goals. People can access the PBS following a referral which is then discussed by the Community Learning Disability Team.  Referrals can be self-made, in-service or via external agencies, such as GPs.
    • Who can use the PBS Team? The team helps people who are on the Learning Disability register, whose:
      • Behaviour places them and others at risk of physical harm, or
      • The behaviour places them at risk of restrictive or aversive practices, or
      • They are at risk of placement breakdown due to the behaviour, or
      • The behaviour significantly limits their access to ordinary community facilities or services, or
      • They have a profound and complex learning disability, making it difficult for them to engage in development activities
    • Contact the PBS Team on: 01481 224010
  • Off-Island

    • The Off Island Service provides therapeutic support, complex care and treatments for individuals which cannot be provided for on island. Placements are primarily at 24/7 residential in various locations in the UK.
    • Who can use this service? There is no age restriction for off island care. Recommendations for placements are based on the complexity of the care needed and whether an individual will benefit from being placed in such a setting.
    • Referrals for off island care are considered by a panel. There are three panels, one for adults, one children and young people and one for adults with learning disabilities. They are made up of a mix of professionals and are chaired by the manager of off island placements. In cases where an off island placement is not approved, the panel will suggest other, on island routes.
    • Guernsey residents who are placed off island are visited by an HSC-employed social worker at least every three to six months, who monitors their care and ensures that the care provided continues to meet their needs.

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