Supported Living Referral

We provide high quality supported living homes for adults with learning disabilities, autism, and additional needs (mental health, physical disabilities and behaviour that challenges). If you are a social worker, care manager, brokerage team, commissioner, discharge team, or care provider, you can use the supported housing referral form below to make a referral for supported living.

Before you start, please check the essentials:

The person must be 18 or over
They must require supported living, not residential care
A care provider must be identified, or clearly proposed
You should have a current needs assessment and risk information available
Funding route or panel position should be confirmed or in progress

We complete an individual assessment for every supported living referral to ensure the home, the tenancy, and the support model are the right fit.

If you are unsure whether the referral is suitable, call us first on 0800 03 08 009 or email [email protected]. A short conversation now often saves time later.

Scroll down to complete the supported housing referral form.

Make a referral

Details of Referrer

Please complete as much of the form as possible with as much information available. Note: * denotes mandatory responses.
1. Name *
2. Local Authority *
3. Date *
1. Job Title *
2. Telephone *
3. Email *
Applicants Details
1. Applicants Name *
Street Address *
Address Line 2
1. City *
2. County
1. Post Code *
2. Email *
3. Telephone *
1. Date of birth *
2. Select Gender
3. National Insurance

Click on the next tab at the top of the form to go to the next section of the referral form - Thank you for your cooperation.

Applicants Representative

Name
1. Representative
2. Name (if Applicable)
Guest Name
1. Representatives Telephone (if Applicable)
2. Representatives Email (if applicable)
1. Primary Language
2. Other communication/information that will assist
1. Interpreter Required? YesNo
2. Can you Read English? YesNo
3. Can you write in English? YesNo

Click Next to go to the next page of the referral form - Thank you for your cooperation

Support Provider & Funding

Whilst Zetetick is a Charity, ALL nominations MUST be supported under contract with the Local Authority, either direct support with Zetetick Housing or by their approved nominated Care Provider for and on behalf of Zetetick Housing.
-----------
Has Support Funding been approved? YesNo
(If No) Expected Date to present to funding panel
Please select and confirm the ZH approved nominated Care Provider
Please select and confirm the Local Authority Commissioning Provider
Please provide a brief history on any prior tenancy arrangements and/or issues i.e. arrears, ASB, other legal actions etc
Prior Tenancy Arrangements *
Reason for referral, including tenant and family expectations *

Click Next to go to the next page of the referral form - Thank you for your cooperation

What happens next

Initial review
- We review the information and confirm whether we have a potential property match.
Assessment and discussion
- We speak with you and the proposed care provider. Where appropriate, we meet the person being referred.
Decision and move-in planning
- If we can offer a home, we agree practical next steps, tenancy arrangements, and a realistic move-in plan.

If we cannot offer a property, we will explain why clearly so you can consider alternative options.

Ongoing partnership

We work closely with care providers as our primary partners. We maintain communication with commissioning and health professionals where required to keep placements safe, stable, and sustainable.

For further information about how we manage tenancies and provide Intensive Housing Management, please contact us directly.

Call 0800 03 08 009. Email [email protected]