Sleep-In vs Waking Night Support in Supported Living: How to Evidence the Right Model
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Choosing between sleep-in and waking-night support is a key staffing decision in Supported Living and one commissioners examine closely. They expect providers to justify the model using risk, clinical input and individual needs. For more rota-related content, see the Staffing & Rota Models category.
1. When waking-night support is appropriate
Waking-night staffing is typically used when individuals require:
- Regular or unpredictable night-time support.
- Support with emotional distress or anxiety during the night.
- Monitoring linked to health, epilepsy, postural needs or PBS plans.
- Immediate intervention to maintain safety.
Commissioner expectations:
- Clear clinical or behavioural rationale.
- Documented night-time risks and patterns.
- Evidence the staff role is active, not passive supervision.
2. When sleep-in support is appropriate
Sleep-ins work well when:
- Night-time needs are low and predictable.
- Risks can be safely managed through planned routines.
- People supported feel comfortable with staff sleeping on-site.
- Assistive technology can safely complement in-person support.
Commissioner expectations:
- Updated risk assessments confirming low night-time need.
- Clear escalation pathways if support is required.
- Evidence the model does not compromise dignity or safety.
3. Hybrid night-time models
Many services now use mixed models, for example:
- One waking night supporting several low-need sleep-in homes.
- Sleep-in plus assistive technology alerts.
- Rotating waking-night roles during transition or crisis periods.
4. How to evidence your model in tenders
- Provide a clear rationale grounded in individual needs.
- Include MDT input where relevant (e.g., psychology, epilepsy nursing).
- Show how the model will be reviewed and adapted over time.
- Explain how night-time staffing links to PBS, community inclusion and overall outcomes.
The strongest bids show your night-time model is safe, justified and person-led — not simply the cheapest option.
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