Caring for People with Severe Learning Difficulties in Ordinary Houses

Evaluation of community care only rarely considers management issues and the stresses which arise from new work structures and situations. This study examined the changed role of community care staff and the support required to maintain an effective service. Group interview methods were employed. Factors identified as important stressors were working together in a smaller setting, being in the public gaze and the risk-taking involved in client training programmes. It was suggested that meeting staff needs should focus on emergency cover, communication and consultation, and providing adequate training. Implications for management practices are discussed.