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Social inclusion and choice for adults with learning disabilities: Some lessons from reprovisioning

Based on a study of the relocation of adults with learning disabilities from a local authority hostel to individual and multi-occupancy tenancies, this article argues that well-intentioned reprovisioning policy initiatives struggle to strike a balance between imperatives concerned with managing the state's duty of care, realising social inclusion and securing the rights of individuals. Protracted implementation and changes to the timetable contributed to tension between speed and meaningful consultation and adversely affected the perceived reliability of information. Many residents, staff and relatives were neither clear about the reasons for change, nor were supportive of it. Initial scepticism amongst staff and relatives changed over time to appreciation of the value of the move and frequency of contact between tenants and relatives remained relatively stable. However, the shift from unit-based management to that of dispersed tenancies put staff autonomy, support and supervision under scrutiny. More fundamentally, the choices available to users were restricted to matters of daily living and routine and few staff felt enabled to support them to take full advantage of the move.