Promoting independence in the heart of the community

Cheam House offers

Earlier discharge from hospital by working with individuals in their current setting as part of their transition into the community.

Therapeutic interventions that are based on Positive Behavioural Support and Psychosocial interventions. Delivered in conjunction with Clinical Professionals including, Occupational Therapist, Psychologist, Applied Behaviour Analysis Consultant and Speech and Language Therapist.

Comprehensive diagnostic assessment of suspected Autism.

Service Model


Our service model is underpinned by the principles of Positive Behaviour Support (PBS) and we are engaged with the Centre for the Advancement of Positive Behaviour Support (CAPBS) at BILD in the delivery of our staff training programme.

As part of our mandatory training all staff undertake the Department of Health’s online course; Positive and Pro-active Care and are booked to undertake CAPBS Foundation Level 1A: Introduction to Positive Behaviour Support.

Key members of our staff team are being trained to Level 1B: Practioner Level, who will then oversee our overarching PBS strategy, which will include a monthly staff supervision specific to PBS.

The service wishes to actively participate in the PBS festival and the Surrey PBS network and has made early stage connections with the relevant Behavioural Specialists who cover Sutton.

Understanding Autism

All our staff complete the National Autistic Societies (NAS) 5 core modules in understanding and supporting autistic people and are trained in the delivery of autism friendly behaviour support plans.

Autism Relevant Outcome Tools

The service operates with an online license to use the Spectrum Star which links to our individualised care planning and risk assessments. Each service user has a communication passport which will be informed by a Speech and Language Therapist (SALT).

High staff to service user ratios

Our service model is enhanced by ensuring we have highly skilled staff who are trained to meet the needs of the service user group. This is delivered by offering 1:1 support within the crisis wing (Birch Ward) and 1:2 support in the short-stay rehabilitation ward (Ash Ward). Each service user will be allocated a named nurse and a key worker who will be dedicated to working with them in their recovery.

Functional Behavioural Assessment

Functional behavioural assessment (FBA) is a precise description of a behaviour, its context, and its consequences, with the intent of better understanding the behaviour and those factors influencing it. The purpose of the FBA of behaviour is to determine which contingencies maintain an individual’s problem behaviour. A PBS plan should be based on a functional behaviour assessment. The functional assessment report will inform the development and interventions of a positive behaviour support plan.

Our specialist team will undertake an FBA within 28 days of admission.

Focus on carer involvement

Our Carer involvement strategy has been developed in conjunction with the National Lead Choice Support Consortium, Experts by Experience. Our Crisis bedrooms enable carers to visit their loved ones in the privacy of their bedroom whilst ensuring the privacy of other occupants. We wish to engage and work with carers at the earliest opportunity and involve them in the recovery and long term rehabilitation of our service users.

Transitional Working

We recognise the importance of ensuring that service user’s have a seamless transition back into the community after hospitalisation.

The Transitional Worker’s role is to work with the service user from the point of admission up until discharge back home/supported living service in the community.

The Transitional Worker is PBSP trained and has an understanding of sensory considerations which will help aid better recovery and reduce the chance for relapse.

Where possible, our transitional worker will meet with the service user prior to admission and begin the process of transitioning them into the service and also planning their next steps in preparing for discharge. The transitional worker will only engage with service users who have been pre-assessed as suitable for admission by the clinical team.


It is expected that admissions to the service may either come from the community and already be living independently or be stepping down from existing in-patient settings. The focus of the service is to ensure that every individual service user stays as connected as possible to the community or is supported to build links within the community. This ensures the promotion of independence and supports our ambition to reduce lengths of stay to the shortest amount of time possible.

Diagnostic Assessments

The clinical team are trained in ADOS and ADI-R assessments and these can be undertaken whilst in our care. We can also undertake these assessments for individuals who are not currently in our care and should this be of interest please get in touch via our referral line or email address.


The service has engaged with an individual who has lived experience to support the service during set-up. We will continually involve local experts and current service users to co-produce staff training and inform our service delivery.