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Transforming Care in Leicestershire

Affinity Trust’s new housing scheme for people with complex needs has been completed on schedule, and the first person to be supported there has moved in.

Affinity Trust has been working with Leicestershire County Council and local NHS Clinical Commissioning Groups on the scheme, designed for people with complex needs who have been living in restrictive hospital accommodation.

The three-quarter acre site in the village of Markfield features four self-contained bungalows, each with its own garden, as well as a unit for staff and a landscaped communal garden.

The development is designed to meet the needs of people whose behaviour can challenge by providing a safe, non-institutional environment in a semi-rural setting. Importantly, it is a place that people can call their long-term home.

A bungalow at Markfield. It has a small front garden with a wooden gate, and a green front door. It looks very welcoming.
One of the bungalows at Markfield
The bungalows are fully furnished with a modern look. This is the lounge, which has a modern, grey suite, a coffee table and laminate flooring . It is bright and airy with large windows.
The bungalows are fully furnished with a modern look.
The bedroom has fitted storage and a wall-mounted tv. Again, it is light and airy from the large windows. The sloping windowsill prevents climbing.
The bedroom has fitted storage and a wall-mounted tv.
The landscaped gardens provide a communal area and safe space for residents. This wooden band stand style shelter ensures residents can enjoy the gardens whatever the weather. It is octagonal, with one side open as an entrance, and a slate roof. A York stone path way leads to it and all the way around, with lawn in the spaces between.
The landscaped gardens provide a communal area and safe space for residents

Design features include:

  • assistive technology including external door and window sensors

  • adjustable lighting to create a low-arousal environment

  • generous space standards to enable the safe provision of higher levels of support if required and a feeling of space for each person within their new home.

This development has also been used to pilot the Design Quality Indicator (DQI) process for community-based accommodation for people with learning disabilities. DQI is a toolkit developed by the NHS for measuring, evaluating and improving the design quality of buildings.

The DQI process involved a wide range of stakeholders including local commissioners, Affinity Trust staff, NHS managers, occupational therapists, architects and experts by experience.  Ruth, who’s been supported by Affinity Trust since 2016, and who has personal experience of moving out of hospital accommodation, played a key role in the DQI process. She met the architects to review the design and to make recommendations for improvement, based on what she feels is important for someone moving from hospital accommodation into a new home.

Ruth says: “It made me feel really happy and positive. I’m glad they are trying to make it perfect for other people, and I really hope that they love it.”

The overall feel is domestic, in contrast to the institutional design tenants may have been used to. These new homes are designed to be life-changing for the new tenants.


The site was developed thanks to a capital grant from NHS England, designed to help people with learning disabilities and autism move out of secure hospitals into the community.

The scheme builds on Affinity Trust’s knowledge and expertise as a provider of specialist support for people with learning disabilities under the Transforming Care programme.

Charlotte Betts, Affinity Trust’s Head of Housing, says: “The reaction has been fantastic. One councillor who visited said they would like to live here – which is the kind of reaction I wanted.

“Affinity Trust has achieved this development because supported living, and the belief that every learning-disabled person has a right to their own home, is in our DNA as a charity.”

See how Ruth felt when she first visited the completed housing (or read the video transcript):

Ruth’s first look at new housing from Affinity Trust on Vimeo.

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