We are developing a new service for people with learning disabilities (pwld) whose support needs are increasing substantially with age. We will deliver this service from a purpose-built new house. We will provide round-the-clock care, socialisation, access to OT, community nursing and palliative care as required. Our aim is to offer end-of-life care of sufficient quality and scope to prevent admissions to generalist nursing home care. Four people with and four people without disabilities will live together and further day-time support will be incorporated in response to need. Hence the ratio of patient/carer support will be at least one-to-one.