"The misconception that bedtime should align with developmental age overlooks the importance of person centric care" 

The journey to inclusive and respectful care for adults with disability in supported accommodation involves recognising and respecting each persons autonomy, even when it comes to something as fundamental as sleep. In this blog, we aim to dispel the misconception that an individual's developmental age should determine their bedtime. Instead, we encourage support staff in supported accommodation to champion the empowerment of individuals. This involves advocating for their autonomy in shaping their own sleep schedules and ensuring they are aware of their rights to make choices that align with their preferences and life decisions.

Living in supported accommodation including a shared accommodation setting should not diminish an individual's right to make choices regarding their daily routines, including sleep. Each person, regardless of cognitive function, has unique preferences and circadian rhythms that should be taken into account. The misconception that bedtime should align with cognitive age overlooks the importance of person centric care.  Of course this differs when supporting children and young people as we are  to work closely with guardians to promote good sleep hygeine interventions.

Stereotypes surrounding cognitive age can inadvertently limit the freedom of adults with disabilities. For instance, assuming that a 21-year-old with the development age  of a 13-year-old should adhere to a 13-year-old's bedtime oversimplifies the complexities of their individual needs and preferences. Breaking free from these stereotypes is essential for creating an environment that respects the rights and choices of each resident in the home.

Circadian rhythms, our internal body clocks, play a crucial role in determining our sleep-wake cycles. Recognising and respecting each persons natural  sleep cycle is a cruital component to living a life of choice and control.  Some people may thrive with an earlier bedtime, while others may prefer a later one. A personalised approach to sleep schedules can improve overall well being and satisfaction of living arrangements.

Support staff in supported accommodation play a pivotal role in creating a conducive environment for clients and it is imperative that support staff have a clear understanding of the clients rights, including the right to determine their own sleep times.  Plan and Grow training emphasises the importance of self directed care starting with the clients individual needs by encouraging open communication between clients and support staff.

Prioritising the well-being of individuals with disabilities involves acknowledging and respecting their choices. If a client expresses a desire to go to bed at midnight, that choice should be respected. By creating an environment where residents feel empowered to make decisions about their own lives, supported accommodation contribute to a sense of dignity and self-determination.

Self directed care for individuals with disabilities in supported accommodation includes all aspects of an individuals life and their home becomes space that empowers people to lead fulfilling lives on their terms.