Complex care

We are a clinically led provider delivering bespoke, outcome-focused care packages tailored to each individual’s needs, risks, and aspirations.

We are a clinically led provider delivering bespoke, outcome-focused care packages tailored to each individual’s needs, risks, and aspirations.

Consistent, high-quality support delivery

  • Reduced reliance on restrictive practices
  • Measurable progress and reporting to commissioners

We specialise in:

  • Stabilising high-risk or failing placements
  • Supporting hospital discharge and step-down pathways
  • Preventing admission or re-admission
  • Delivering structured, PBS-led care in the community

1:1, 2:1 & 3:1 Specialist Support

Our staffing models are tailored to individual risk, complexity, and clinical need, ensuring safe, effective, and person-centred support at all times:

A single dedicated support worker provides continuous, individualised care. This model is ideal for individuals who require guidance, structure, and supervision to maintain safety while promoting independence, community engagement, and daily living skills.

Two staff members provide support simultaneously. This allows for increased supervision, safer management of risk, and the ability to implement proactive interventions. It is particularly suitable for individuals who may present behaviours that challenge, require support in the community, or benefit from consistent de-escalation strategies.

Three staff members provide intensive, coordinated support for individuals with high-risk or complex presentations. This model enables safe management of significant behaviours, supports crisis stabilisation, and ensures continuity of care in highly dynamic or unpredictable environments.

All staffing models are delivered by trained professionals using Positive Behaviour Support (PBS), trauma-informed care, and evidence-based approaches, with flexibility to step up or step down as needs change.

AVIV Healthcare - Pine Haven - Longmoor Road, Liphook, East Hampshire, Gu30 7PG

Pine Haven Therapeutic Service

A Specialist Therapeutic Environment in Surrey

Located in a quiet, serene setting, Pine Haven offers a safe and structured environment ideal for stabilisation and recovery.

  • Secure, risk-managed setting
  • Therapeutic animals
  • Gardening and outdoor activities

Regular input from:

  • Consultant Psychiatrists
  • PBS Leads
  • Mental Health Nurses (CPNs)

Reduced behaviours that challenge

  • Improved emotional regulation
  • Increased independence
  • Placement stability

Ideal for step-down from hospital or placement breakdown prevention

AVIV-Healthcare - Essex Close

Essex Close, Bordon

A Specialist Solo Placement Service

Located in a quiet residential area of Bordon, Essex Close offers high-quality, self-contained accommodation designed specifically for individual (solo) placements, providing a safe and structured environment that supports stabilisation, independence, and positive outcomes.

  • Self-contained solo flats ensuring privacy and reduced peer-related risk
  • Secure, risk-managed setting tailored to individual needs
  • Calm, community-based location supporting gradual reintegration
  • Opportunities for structured daily living and independence-building

Delivered through a multidisciplinary approach with regular input from:

  • Consultant Psychiatrists
  • Positive Behaviour Support (PBS) Leads
  • Mental Health Nurses (CPNs)
  • Reduced behaviours that challenge through personalised support
  • Improved emotional regulation and resilience
  • Development of independent living skills
  • Increased placement stability in a solo setting
  • Individuals requiring solo placements due to risk, vulnerability, or complexity
  • Step-down from hospital into a less restrictive environment
  • Prevention of placement breakdown where shared settings are not appropriate
Specialist solo environments. Responsive clinical support. Outcomes that matter to commissioners.

Ofsted & Unregulated Placement Support (Staff-Only Provision)

We provide experienced, specialist staff to support Local Authorities in delivering safe and structured care within unregulated or emergency placements, particularly where suitable registered provisions are unavailable.

  • Staff-only provision for Ofsted-linked and unregulated settings
  • Rapid deployment to support emergency and short-notice placements
  • Highly trained staff experienced in behaviour support, trauma-informed care, and risk management
  • Flexible staffing models, including 1:1, 2:1, and 3:1 support
  • Specialist support for young people with complex needs and behaviours that challenge
  • Breakdown of foster or residential placements
  • Lack of available regulated placements
  • Emergency or out-of-hours situations
  • Support for high-risk young people awaiting suitable long-term provision
We work in partnership with Local Authorities to ensure safe, structured, and well-governed interim support arrangements while long-term placements are identified.

We provide immediate intervention to reduce risk and prevent escalation:

  • Emergency and same-day placements
  • Rapid clinical risk assessment
  • Crisis staffing solutions (1:1, 2:1, 3:1)
  • Hospital discharge and step-down support

Our 24-hour mobilisation model ensures continuity of care and reduces system pressures.

Our in-house multidisciplinary team ensures strong clinical governance and coordinated care:

Registered Manager – Emma Williams

Registered Psychiatric Nurses (CPNs) – Sarah Ahmed, James Carter

Positive Behaviour Support (PBS) Leads – Rebecca Collins, David Singh

Consultant Psychiatrists – Dr. Michael Turner, Dr. Aisha Rahman

Experienced Case Managers – Laura Bennett, Thomas Reed

Specialist Support Workers – Daniel Hughes, Chloe Martin, Ahmed Khan

This integrated approach ensures comprehensive assessment, formulation, and ongoing review.

We deliver care that is:

  • Person-centred and outcome-focused
  • Trauma-informed and least restrictive
  • Clinically led and evidence-based

Positive Behaviour Support (PBS)

PBS underpins all support delivery. It combines behavioural science with person-centred values to understand and respond to behaviours that challenge.

We recognise that behaviour is a form of communication. Through PBS, we:

  • Identify unmet needs
  • Reduce triggers and escalation
  • Improve quality of life

We are committed to human rights-based care. Individuals are supported to exercise the same freedoms as any citizen, with dignity and respect at all times.

Our practice aligns with Restraint Reduction Network (RRN) Standards, promoting proactive approaches and reducing restrictive interventions.

Outcomes / Results

  • We deliver measurable outcomes aligned with commissioner priorities:
  • Reduction in incidents and restrictive practices
  • Improved placement stability and sustainability
  • Successful hospital discharge outcomes
  • Increased independence, engagement, and quality of life

“We specialise in stabilising high-risk placements and reducing restrictive interventions through clinically led, proactive support.”

Referral Process

A clear, efficient and responsive pathway:

  1. Referral Received – Prompt review of referral information to assess urgency, risks, and support needs.
  2. Clinical Assessment – Multidisciplinary evaluation including risk, behaviour, and environmental factors.
  3. Risk & Staffing Plan (Within 24 Hours) – Bespoke plan including staffing ratios, PBS strategies, and risk management.
  4. Package Mobilisation – Rapid deployment of trained staff ensuring safe, coordinated implementation.

We maintain close communication with commissioners throughout.