Please use this form to enquire about Mencap's supported living service.

What is your name?

A woman holding a sign with her name written on it and underlined.
What is your name?

Who is interested in living in a supported living service?

A group of peoples silhouettes around a question mark
Who is interested in living here

Are you from a referring organisation?

A referring organisation could be a health, social, or community care provider.
A man working in an office
yes no answer to question 4

Does the person who is interested in living in a Mencap supported living service have a learning disability?

A group of 4 different people. One is blind, one has learning disability another is  in a wheel chair.
yes no 5
Currently, our services can only support people who have a diagnosed learning disability.

As you told us that this enquiry is not for a person with a learning disability we are unable to support your request.

This is because our services currently only support people who have a diagnosis of a learning disability.

Has the person had a Care Act assessment completed by their local authority?

A woman is standing up, writing with a pen in a file and smiling
no yes element

To proceed with this expression of interest form, the person will need a Care Act assessment completed by their local council .

Please contact your local council to request a Care Act assessment before coming back to this form.

Does the person who is interested in living in a Mencap supported living service currently have a social worker or care manager?

A man is giving a man in a wheelchair a cup of tea
yes no answer field

Does the person have any accessibility or mobility needs?

5 people with different disabilities
accessibility needs yes no answer

Where would be the preferred location to live?

Map drawings showing a town, a city and a county

Are there any other areas they would consider living in?

A map of London.

Would the person like to live alone or share with others?

people living in a house together.
alone or with others answer

Tell us more about what kind of support or home the person is looking for:

A young man with his finger in the air asking a question

Please provide your contact details so we can reply to you

A laptop with an email on it and a mobile phone.
contact details
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