Our approach to outcomes, quality of life and meaningful change, aligned to the H.E.S.L.E.Y. Integrated Model.

Why outcomes matter to us

At Hesley Group, our focus is quality of life, wellbeing and meaningful progress for the people we support. Success is not always about speed or simple milestones, but about stability, understanding, dignity and sustained positive change over time.

How we measure outcomes

We use a combination of clinical formulation, Positive Behaviour Support and recognised quality-of-life measures to understand whether support is making a meaningful difference. Outcomes are reviewed regularly at individual, service and organisational level.

More about us

The San Martín Scale – understanding quality of life

Aligned to the H.E.S.L.E.Y. Integrated Model, Hesley Group is embedding the use of recognised quality-of-life measures, including the San Martín Scale , a recognised quality-of-life assessment tool for people with learning disabilities and intensive specialist support needs

The San Martín Scale helps us to understand quality of life across key domains, including:
• Emotional wellbeing
• Physical wellbeing
• Personal development
• Self-determination and choice
• Social inclusion
• Interpersonal relationships
• Rights and dignity

By using this framework, we are able to look beyond immediate behaviour or risk and focus on what truly matters to the person.

How outcomes inform support

Information gathered through the San Martín Scale is not used in isolation. It directly informs:

  • Clinical formulation and review
  • Positive Behaviour Support planning
  • Environmental and sensory adaptations
  • Education, care and support priorities
  • Staff coaching and reflective practice