Brenda’s Story: Small Steps, Meaningful Progress
Brenda* has lived at Malvern View for several years, she is autistic, has a learning disability, and finds comfort and reassurance in familiar routines. Certain changes can cause Brenda anxiety and distress, including accepting new clothes, changing and laundering her bedding, and taking part in fire drills.

Growing Independence
Person-Centred Support
Small Steps, Big Achievements
Over time, Brenda has made some really meaningful steps forward. With gentle discussion and encouragement from the team, she chose and accepted new pyjamas, she also took part in a fire drill and came outside with everyone else.
The biggest sign of progress has been changing her bedding. Previously, Brenda could become distressed when prompted to change her bed. However, recently, Brenda approached a member of the team herself and asked them to come upstairs and change her bedding with her.
How We Helped
The team took a patient and person-centred approach, introducing change gradually and in a way that worked with Brenda’s routine rather than against it. Following guidance from the Positive Behaviour Support Team, they introduced a picture board containing familiar activities Brenda regularly completes, such as showering, brushing her teeth and having breakfast. The picture board was then used to introduce other activities, including shopping for pyjamas and changing her bedding. This gentle, consistent approach helped Brenda become more accepting new experiences while supporting her independence and safety.
Looking Ahead
Brenda’s progress shows how small changes can represent significant achievements when support is built around the individual. From choosing new pyjamas and participating in a fire drill to actively asking for support to change her bedding, each step reflects growing independence.






