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Behaviour is escalating
Repeated distress, resistive care, aggression, agitation, disinhibition or other behaviour affecting safety, dignity, staff confidence or placement stability.
Specialist dementia behaviour support for care providers
When behaviour escalates,
When behaviour escalates,
your team needs more than vague advice.
First Response Dementia Services helps care homes and care providers make sense of complex dementia-related behaviour, strengthen care planning, and give staff a clear, practical route forward.
Focused support for services that need calmer care, stronger documentation, better staff confidence, and a plan that actually works on shift.
Often used when previous input, including healthcare involvement, has not resolved the situation and the team needs a clearer, more practical way forward.
Led by Keith Hallard RNMH, BNurs(Hons), PGCert, NMP
Free 30-minute consultation
Practical care planning
Why services usually come to us
Most services do not need more generic theory. They need somebody to review the pattern properly, make sense of the problem, and give them a realistic plan.
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Care plans are not enough
The paperwork describes the issue, but it does not explain what staff should do differently in practice or why the behaviour may be happening.
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The team feels stuck
ABC charts, incident logs and handovers exist, but nobody feels confident that the home has a coherent understanding or a usable plan.
What makes this different
Focused support that is built to change care, not just produce paperwork.
- Specialist behavioural formulation and practical care planning
- Free 30-minute consultation to scope the issue properly
- Fast booking once scope, fee and timescale are agreed
- Payment required up front to confirm the booking
- Support that can extend into training and wider practice improvement
Why services choose First Response
Specialist dementia behaviour support that actually works in practice.
Keith Hallard RNMH, BNurs(Hons), PGCert, NMP is the founder of First Response Dementia Services.
Keith is a Registered Mental Health Nurse and Independent Prescriber with over 15 years’ experience across health and social care, including care homes, domiciliary care, learning disability services, and community, inpatient and forensic mental health, alongside older adult and dementia services.
He specialises in dementia and complex behavioural presentations, focusing on behavioural support, practical formulation and improving day-to-day lives of people living with dementia.
He has a strong interest in reducing reliance on medication-led approaches, supporting staff to develop confidence in consistent, non-pharmacological strategies. His work is grounded in evidence-based approaches, helping teams understand behaviour in context rather than simply responding to it.
Focused, practical support that works in real-world care settings.
Registered Mental Health Nurse
Independent Prescriber
Dementia and behaviour specialist
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Extensive sector experience
Grounded in real experience across years of work within health and care settings, not just classroom delivery.
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Practice-first approach
Outputs are designed to improve care on shift, not sit in a file unread.
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Clear service boundaries
Consultancy and training support only, with strong emphasis on anonymisation, governance and practical implementation.
Practice-based case examples
These are anonymised examples based on real work, illustrating the kind of practical outcomes a stronger formulation and clearer care response can support.
Distress during personal care
An elderly resident became increasingly distressed during personal care, with growing risk of self-neglect and staff struggling to meet needs consistently.
Formulation highlighted embarrassment, loss of control and distress during care. A more person-centred approach focused on reassurance, offering choice, slowing care down and increasing control.
Outcome, incidents reduced, bathing improved and placement stability strengthened.
Disinhibited sexualised behaviour
A resident was making sexualised comments, invading staff personal space and creating distress and safeguarding concerns within the home.
Structured review suggested disinhibition, boredom and misinterpretation of interactions rather than informed intent. A consistent team response using neutral language, early redirection and meaningful activity was introduced.
Outcome, inappropriate behaviour reduced and staff confidence improved.
Late afternoon and evening agitation
A resident became increasingly restless later in the day, pacing, raising his voice and attempting to leave the unit.
Review pointed to fatigue, environmental change and unmet comfort needs. A proactive routine with earlier support, reduced overstimulation and calmer responses was put in place.
Outcome, fewer escalations and better settling into the evening routine.
Core services
Built around the problem in front of you, whether that is one complex resident, a struggling staff team, or a wider need for better behavioural practice.
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Behaviour case review
Structured consultation, review of anonymised information, behavioural formulation and practical care planning guidance.
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Enhanced review and follow-up
For homes that need extra implementation support, another pass at the case, or help embedding the plan more effectively.
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Training package
Case-based BPSD training that links directly to practice improvement and better day-to-day staff responses.
Free 30-minute consultation
Bring the problem, and we will help you work out what needs fixing first.
If you decide to proceed, the service, scope, timescale and fee are agreed after that initial discussion. Booking is then confirmed once payment has been received in full.