01
Assess what is really happening
We review patterns, incidents, documentation and staff experience so you are not guessing what is driving behaviour.
Specialist dementia behaviour support, training and service improvement
Struggling with challenging behaviour in your service?
We help care homes reduce repeated distress, strengthen care planning, improve staff confidence and respond more effectively to behaviours that put safety, dignity and placement stability under pressure.
This is practical support for services that need calmer teams, clearer plans and more confident responses on the floor.
Behaviour support
Assessment, formulation and practical care planning
Training
Half-day, full-day and bespoke delivery
Service improvement
Audit, action planning and inspection readiness
Free consultation
Clear advice on what to fix first
Common pressure points
Sound familiar?
- Repeated distress, agitation or aggression with no clear plan
- Staff unsure how to respond, so care becomes inconsistent
- Personal care becoming a battleground
- Care plans that do not actually guide care
- Pressure building around quality, documentation or inspection
What makes this different
We do not just train staff, we help fix the problem
Most services do not need more theory. They need someone to work out what is actually going wrong, build a practical plan, and help the team respond properly.
02
Build a clear route forward
We turn complexity into formulation, practical care planning, realistic priorities and actions staff can actually follow.
03
Improve practice on the floor
Support is designed to change day-to-day care, not just produce a report, a slide deck or another document nobody uses.
Real-world examples
This is what the work looks like in practice
These are anonymised examples based on real behavioural formulation work in dementia care, showing how structured formulation and practical care planning can improve outcomes.
01
Distress during personal care
An elderly resident was becoming agitated during personal care, with staff struggling to meet her needs and growing risk of self-neglect.
After reviewing records and improving the detail of ABC information, a behavioural formulation identified embarrassment, loss of control and distress during care as likely drivers.
A positive behaviour support plan was introduced, focusing on reassurance, offering choice, slowing care down and giving the resident more control.
Outcome: incidents reduced, bathing increased, risk of self-neglect reduced and placement stability improved.
02
Disinhibited sexualised behaviour
A resident was making sexualised comments to female staff, invading personal space and showing poor boundaries, creating distress and safeguarding concerns within the home.
Structured review and formulation identified disinhibition, boredom and misinterpretation of interactions as likely drivers, rather than informed intent.
A consistent team approach was introduced using neutral communication, early redirection, meaningful activity and clear boundary-setting.
Outcome: inappropriate behaviour reduced, staff confidence improved and the environment became safer and more manageable.
03
Late afternoon and evening agitation
A resident was becoming increasingly restless and irritable later in the day, pacing, raising his voice and attempting to leave the unit.
Review of patterns and triggers suggested fatigue, environmental change and unmet comfort needs were key contributors as the day progressed.
A proactive plan focused on routine, lighting, reducing overstimulation and meeting physical needs earlier, with staff responding earlier and more calmly.
Outcome: reduced evening agitation, fewer escalations and better settling into the evening routine.
Flagship service
Behaviour Support Package
Designed for services managing repeated distress, resistive care, aggression, sexual disinhibition, agitation or other behaviours that are affecting safety, confidence or placement stability.
Case and incident review
See patterns clearly instead of reacting one incident at a time
Behavioural formulation
Understand why the behaviour may be happening
Positive behaviour care plan
Give staff clear, person-centred guidance they can actually use
Targeted staff input
Improve confidence, consistency and day-to-day responses
What changes
What services are really buying
- Fewer repeated incidents
Clearer staff responses and less firefighting. - More confident teams
Staff know what to do and why they are doing it. - Stronger care plans
Documentation reflects the resident properly and guides actual care. - Less reactive practice
Reduced dependence on inconsistent or medication-first responses. - Better oversight
Managers get a clearer picture of risk, quality and what needs fixing first.
Core services
Support matched to the problem in front of you
01
Behaviour Support
For single residents, repeated incidents or placements under pressure.
02
Training Courses
Practical dementia training built around behaviour, confidence and safer care.
03
Service Improvement
Audit, action planning and quality support for services needing a clearer route forward.
Before and after
The type of change providers usually want
When behaviour is better understood and staff responses become more consistent, services often see calmer care, fewer repeated incidents and stronger day-to-day practice.
What it often looks like now
Resident distress escalatingIncidents repeating with different staff responding differently
Staff feel stuckTeams know there is a problem but cannot explain what is driving it
Care plans too vaguePaperwork sounds fine but gives little practical direction
Pressure on managersConstant reacting, little time to step back and fix the pattern
What better can look like
Clear behavioural understandingStaff can explain likely drivers, triggers and helpful responses
Consistent team responsesLess mixed messaging, better de-escalation and stronger practice
Usable care plansGuidance is clear enough to shape real care, not just satisfy paperwork
Stronger oversightManagers can prioritise action, evidence improvement and feel more in control
Training linked to practice
Our BPSD training can build towards a real behaviour support plan
Staff can work across the four core modules using a real resident example, building understanding, formulation and a practical positive behaviour care plan they can take back for manager review and implementation.
Module 1Choose a resident and start thinking differently about behaviour
Modules 2 and 3Explore patterns, triggers, unmet need and formulation
Module 4Build a draft positive behaviour care plan using the template
Free 30-minute consultation
Bring us the problem and we will help you work out what to fix first
In your consultation, we will understand the current pressure points, identify what is probably driving the issue, and point you towards the support most likely to make a real difference.