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Date of Assessment: 1 July to 9 July 2025 Calton House Limited is a domiciliary care agency and supported living service providing personal care to people with a learning disability and autistic people and/or people with a mental health diagnosis living in their own homes. At this assessment we only looked at the supported living service. At the time of our assessment 5 people were receiving support with personal care in 5 different supported living settings. Other people supported by Calton House Limited were not receiving the regulated activity of personal care and therefore were not included in this assessment. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities which most people take for granted. We found evidence of a poor culture where people were not consistently supported in line with ‘Right support, right care, right culture’ or the principles of the supported living model. People were not supported to develop long term goals which could improve their outcomes. Some staff had low expectations for people and language used was not always respectful or empowering. When technology was used to continually monitor people it was not evidenced this practice had been introduced with the person’s consent or that it was in their best interest. Risks were not consistently identified and recorded to enable staff to have access to guidance and relevant information. There were no protocols to help ensure consistent use of medicines which were only used occasionally. There were no internal checks of an individual’s personal monies. There were gaps in recruitment checks which are intended to help ensure newly employed staff are suitable for the role. Some staff felt they were not well supported by the leadership team. They felt unable, or reluctant to raise concerns as they did not believe they were listened to or their concerns would be taken seriously. Audits had not identified the concerns found at this assessment. However, people were supported by enough staff who had received relevant training. A registered manager was in post. Care managers oversaw team leaders who were based in specific supported living settings. This helped achieve consistent care. Care plans were informative and highlighted people’s strengths and their preferences. We identified 5 breaches of the regulations in relation to person-centred care, consent, safe care and treatment, oversight and governance of the service and recruitment. We have asked the provider for an action plan in response to the concerns found at this assessment.
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