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Complex Care &
Challenging Behaviours

Specialist 24/7 support for clients with complex needs across Yorkshire. Our trained staff use PBS approaches with proactive risk management and ongoing supervision to ensure safe community living.

We provide waking nights, sleep-ins, and flexible care packages tailored to individual needs and circumstances.

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What We Provide

24/7
Support

Round-the-clock care including waking nights and sleep-ins as required.

Challenging Behaviours Support

PBS approaches with trained staff and ongoing supervision.

Risk Management

Proactive risk assessments and incident prevention strategies.

Person-Centred Care

Individualised support plans focused on client needs and preferences.

Flexible Scheduling

Adaptable care packages that respond to changing needs.

Overnight Care

Waking nights and sleep-in support for complex medical and behavioural needs.
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Benefits & Outcomes

For Commissioners & Professionals

  • Reduced hospital readmissions and crisis interventions.
  • Comprehensive incident reporting and learning systems.
  • Evidence-based PBS approaches with measurable outcomes.
  • CQC-compliant staffing and governance frameworks.

For Clients & Families

  • Safe, stable community living with consistent support.
  • Reduced behavioural incidents through proactive management.
  • Improved quality of life and community engagement.
  • Family peace of mind with 24/7 professional support.
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How It Works

01 - Referral

What happens

Goals, risks and timelines shared by commissioners.

Outcomes

Feasibility and setup plan agreed.

02 - Assessment

What happens

Home/community assessment, behaviour and risk analysis.

Outcomes

Care plan with staffing and safety strategies.

03 - Implementation

What happens

Staff induction, routines, communication systems.

Outcomes

Consistent delivery and early stability.

04 - Review

What happens

Outcome and incident reporting, plan adjustments.

Outcomes

Improved stability and community engagement.
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Case Studies

Alex's Autism Support

Autism with sensory needs • 30 months support

Challenge

Alex, 26, with autism and severe sensory processing difficulties was experiencing frequent meltdowns in his residential placement. Previous providers struggled with his complex needs and he was at risk of hospital admission.

Intervention

We created a sensory-friendly environment with specialised staff training. Implemented structured routines, sensory breaks, and communication tools. Provided 2:1 support during high-stress periods.

Outcome

Meltdowns reduced by 90% within 6 months. Alex now participates in community activities and has developed independent living skills. Family relationships have significantly improved.

Incidents: -90%
Duration: 30 months

Sophie's Learning Disability Care

Complex learning disabilities • 18 months support

Challenge

Sophie, 31, with profound learning disabilities and epilepsy required 24/7 care. Her family was exhausted from years of caregiving and needed professional support to maintain her at home.

Intervention

We provided specialised epilepsy-trained staff with 24/7 waking night support. Developed person-centered activities and maintained detailed health monitoring with regular family liaison.

Outcome

Sophie remains safely at home with her family. Zero seizure-related hospital admissions since support began. Family reports significantly improved quality of life for everyone.

Zero admissions
Duration: 18 months

Marcus's Challenging Behaviours

Learning disabilities with PBS needs • 36 months support

Challenge

Marcus, 24, with learning disabilities exhibited self-injurious behaviours and aggression. Multiple care placements had failed, and he was facing long-term hospital admission due to lack of suitable community options

Intervention

We implemented a comprehensive PBS approach with environmental modifications, positive reinforcement strategies, and specialised staff training. Maintained consistent 2:1 support with behavioural specialists.

Outcome

Self-injurious behaviors eliminated within 12 months. Marcus now engages in meaningful activities and has developed communication skills. Support reduced to 1:1 with occasional 2:1 during transitions.

Self-injury: eliminated
Duration: 36 months

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FAQs

Do you provide waking nights?
Yes, including sleep-ins as required.
We operate across Yorkshire and surrounding regions.
We use recognised challenging behaviours and PBS approaches with supervision and incident learning.

What people say about Greenshoot

Ruth – Case Manager, CCMS Case Management

I have found working with Greenshoot to be an entirely positive experience. They are extremely responsive. If concerns arise, they highlight them in a timely manner, and communication with the office team is efficient. The specialist support staff provided to my client have been professional, skilled at building a positive working relationship after a stressful experience, and proactive in contacting me when required.

Stephen

I have been working for Greenshoot care services for approximately 2 months now. I really appreciated the welcome and already feel I am a valuable member of the team. Staff are very friendly, supportive and easily accessible. I have 20 years experience in the nursing field and I must admit this is the best agency I have worked for. There are plenty of shifts and they are very flexible with holiday pay. Training is also available tailored to the type of settings you enjoy working. There is support for personal development. I do strongly recommend anyone to join this agency. Big thanks to Michelle, Emma and Sophie.

Lucy Moore

I have worked for Greenshoot for about 18 months and they are fantastic. The whole office team are really efficient and super friendly. I feel really supported there. I feel like they really care about their staff and the clients they support. They give good training and put you in roles that you feel confident in.
As a student I find the role really great as it is flexible. The team are really great if I have exams coming up and want to work less or am on holiday and want to work more. I feel like they want me to succeed both at work and in my degree which is really nice. They always pay correctly and on time. The pay is also weekly which is really useful for me.

Lisa – Case Manager, CCMS Case Management

I have found the communication and flexibility of your services for my client exceptional. All staff I have dealt with have been professional, very accommodating of changes at short notice, cascading information and working collaboratively to provide a client-centred service. The attention to client needs and selection of support staff to match has been thorough, and the approach of the support workers in the package has been key in the client accepting formal support. Thank you to you all for your continued support on this case.

Lesley – Abbeyfield York Society

The quality of staff you provide as an agency is excellent

Katy – J’s PA, rota organiser, and most importantly, big sister.

We’ve been using Greenshoot Care Services since April this year, and they joined us during an incredibly difficult time in our family’s life.

The gentleman they support, J, was experiencing significant mental and physical health challenges, and Greenshoot stepped in right in the middle of it all. To say a fog lifted would be an understatement. They immediately brought calm, stability, and reassurance — not just to J, but to our whole family and the other carers involved.

Since then, a wonderful friendship has grown between J and his support team. His mental and physical health have both improved dramatically — a change that’s due in no small part to Greenshoot’s commitment and care.

Trust doesn’t come easily for J, yet the team earned it within just a few months. Their professionalism, kindness, and ability to stay calm under pressure have been truly refreshing.

If it weren’t for Greenshoot Care Services, our lives would look very different today.

Thank you, from the bottom of our hearts, for the outstanding support and care you’ve provided.

Richard – Unit Manager York

I just wanted to say how happy I am with the service provided by Greenshoot Care Services. You are by far the best agency provider I’ve ever worked with.

The staff you’ve supplied have been exceptional — professional, reliable, and a real pleasure to work alongside. They’ve quickly become part of our team, and it’s an absolute joy to have them on board.

I also want to thank the Greenshoot office team for their continued support and flexibility. You handle last-minute changes and busy periods with such professionalism and understanding, which makes managing our service so much easier.

Thank you to everyone at Greenshoot Care Services for your excellent communication, teamwork, and commitment.

Get Started?

Professional partners can refer a client or request an assessment below. Families are welcome to contact us for guidance.
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