+4420 4638 3326
info@pinarcare.com
GET IN TOUCH

Crisis, Step-Down & Transition Support

Our crisis, step-down and transition services provide specialist, time-limited support for individuals with learning disabilities, autism, and complex needs who are at risk of placement breakdown, hospital admission, or delayed discharge. We deliver structured, stabilising environments that reduce risk, support recovery, and enable safe progression to longer-term placements. These services are designed to respond at critical points in a person’s care pathway — providing the right level of support, at the right time, to prevent escalation and promote stability. All support is delivered in line with CQC expectations, least restrictive practice, and the principles of the Mental Capacity Act.

Our Model of Care

We provide intensive, highly structured support focused on stabilisation, assessment, and transition planning. Our model is grounded in Positive Behaviour Support (PBS), trauma-informed care, and autism-informed practice, ensuring that behaviours of concern are understood and proactively managed. Each individual receives a clearly defined, outcome-focused support plan with identified goals for transition. Our teams work closely with commissioners, clinical professionals, and multidisciplinary teams to ensure coordinated discharge planning, risk management, and continuity of care. The focus is always on moving individuals forward safely — whether that is returning to the community, transitioning to supported living, or stepping down from more restrictive environments.

Advantages :

  • Fully aligned with CQC standards and discharge pathway frameworks
  • Focus on least restrictive practice and safe progression
  • High staff ratios to safely support complex and high-risk needs
  • Close MDT working including clinical and commissioning teams
  • Trauma-informed and autism-informed care approaches
  • Positive Behaviour Support (PBS) embedded in stabilisation planning
  • Structured, time-limited placements with clear transition pathways
  • Specialist crisis and step-down provision reducing hospital admissions

Our Specialist Care

Get In Touch

Call Us

+4420 4638 3326

Email Us

info@pinarcare.com

Visit Us

Room 3, Enfield House, Bury Old Road, Manchester, M7 4QX

Who We Support

Adults (18+) with learning disabilities and/or autism, including individuals with:

  • Mental health needs alongside LD/autism
  • Complex needs requiring intensive short-term support
  • Delayed discharge from inpatient settings
  • Recent or potential hospital admission
  • Behaviours of concern placing placements at risk

Admission Criteria

  • Referrals from local authorities, ICBs or clinical teams
  • Clear transition or discharge pathway identified
  • Requirement for short-term, intensive support
  • Step-down from hospital or more restrictive environments
  • Individuals in crisis or at risk of placement breakdown

Exclusion Criteria

  • Long-term placements without defined transition goals
  • Risks that cannot be safely managed within a community-based setting
  • Individuals requiring secure forensic or inpatient psychiatric care

Staffing & Training

  • Enhanced staffing ratios
  • Staff trained in:

Positive Behaviour Support (PBS)

  • Crisis intervention and de-escalation
  • Autism and sensory-informed care
  • Mental Capacity Act (MCA) & DoLS
  • Safeguarding
  • Trauma-informed practice

Quality & Governance

Our crisis and transition services operate within a robust governance framework aligned with CQC standards:
  • Clear oversight of length of stay and discharge progress
  • Outcome-focused care planning and reporting
  • Safeguarding and incident monitoring systems
  • Regular MDT reviews and transition planning meetings
  • Detailed risk assessments and behaviour support plans

Outcomes

  • Clear progression to less restrictive environments
  • Improved emotional regulation and engagement
  • Successful discharge to community-based settings
  • Reduction in hospital admissions and readmissions
  • Stabilisation of behaviours of concern

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Referrals

Referrals are accepted from local authorities, ICBs, and clinical teams. Each referral is reviewed urgently where required, with a structured assessment to ensure we can safely meet the individual’s needs and support a clear transition pathway.
MAKE A REFERRAL

Rebecca Turkel

Rebecca Turkel is a children’s services and healthcare operations professional with a passion for helping vulnerable children reach their full potential. Her career began in early childhood intervention, where she worked closely with children requiring additional educational and developmental support, developing a strong understanding of child development, autism, learning challenges, and family engagement. Over the past four years, Rebecca has played a leadership role overseeing operations for organizations providing early intervention services for children with autism. Working alongside local management teams, she has been involved in operational oversight, staffing, quality assurance, strategic planning, and program development. Rebecca brings a child-centered approach to leadership and is deeply committed to creating supportive environments that help children thrive, grow, and achieve positive long-term outcomes

Ben Steuer

Ben Steuer brings deep expertise in finance, business operations and strategic growth, with extensive experience across care home investments, real estate and private enterprises. Throughout his career, Ben has specialized in financial structuring, acquisition analysis, cash flow management and long-term growth planning, helping organizations build strong financial foundations while navigating complex operational challenges. Analytical, disciplined and solutions-oriented, he combines financial insight with practical business leadership to support sustainable expansion and value creation. At PINAR, Ben provides strategic financial oversight, ensuring that every opportunity is evaluated with rigor, structured for success and aligned with the company’s commitment to long-term growth and exceptional care.

Will Bachrach

Will brings over five years of executive-level experience in sales, product strategy, and data analytics to his role as Commercial Director at Pinar Care. His background in building and scaling commercial functions across high-growth environments gives him a distinctive, evidence-led perspective on business development, market positioning, and strategic growth. At Pinar Care, he applies that expertise to forging key relationships, leveraging data and analytics, and driving the organisation’s growth in line with its mission to deliver outstanding, person-centred care.

Dina-lee van der Hoven

Dina brings nearly a decade of experience in sales and commercial strategy to her role at Pinar Care. With a background spanning healthcare and high-value B2B sales, she has a proven track record of building relationships with key stakeholders and identifying high-value opportunities across international markets. At Pinar Care, Dina leads the group’s UK acquisition strategy — identifying opportunities, negotiating with care home owners and operators, and ensuring every acquisition reflects the group’s commitment to quality, person-centred care.