An understanding of the physical world is difficult enough for people with sensory impairments. This is further compounded for people who have learning difficulties, additional physical impairments and complex communication support needs. Trusting relationships with staff are seen as a basis of security from which learning opportunities are extended. Where their needs are such, service users are given all the support necessary to maintain their dignity. The underlying principle governing the support we offer is to guarantee the dignity and quality of life of each individual.