Provision of Care Homes for Adults under 65

Support Arrangements made under the Adults Care Homes Under 65 Framework for individuals with Learning Disability/Autism, Mental Health, Physical Disabilities and Drugs and Alcohol Related Brain Injury and who may also have complex needs and/or display some signs of stress and distress.

The Framework will be categorised into four separate lots and it is anticipated that Providers will tender for the lot(s) relevant to their Care Inspectorate Registration which details their Care Category and Service Type Detail.

This lot covers individuals with drugs and alcohol related brain injury (ARBI) who may have a range of complex needs and display signs of stress and distress.

ARBI refers to a large spectrum of disorders which affect cognition, achieved through excessive alcohol consumption (Alzheimer’s Society, 2015). This can lead to physical and mental impairments and most individuals with ARBI will exhibit problems with short term memory and recall associated with change and damage to the frontal lobe of the brain.

These changes often result in cognitive impairments, which can interfere with an individual’s ability to function independently, specifically in areas such as memory, attention, planning, judgement, and processing of new information. These difficulties are often accompanied by personality and behavioural changes, which can result in increased risk behaviour. Importantly, ARBI has the potential for recovery. Evidence suggests that 75% of patients diagnosed with ARBI have scope for some level of recovery with the right treatment and rehabilitation. The remaining 25% are likely to halt any deterioration with abstinence. Additional information: It is the intention of the Council that any Framework Agreement resulting from this ITT will commence on 1st April 2024 for a period of 4 years. At the Council’s sole option, any Framework Agreement may be extended for up to a further 36 months.