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Date of assessment: 15 September – 31 October 2025. Gabs Healthcare is a care at home service registered to provide personal care. The provider is also registered to provide supported living services but was not supporting anyone in a supported living placement therefore we have not inspected this element of the service. This inspection looked at people’s personal care and support. CQC only inspects where people receive personal care. Where they do, we also consider any wider social care provided. At the time of this assessment there was 1 person receiving care and support. This was the first inspection for the service and the outcome of this assessment was a rating for the service. This assessment was prompted due to concerns identified about the registration of the provider in relation to the provision of care to children and people with learning disabilities and autistic people. As a result, we undertook this assessment looking at all the quality statements in all the key questions. We carried out this assessment of the service because it is used by autistic people or people with a learning disability but is not registered as a specialist service. 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 most people take for granted. We were not assured the provider had a good understanding of the ‘Right support, right care, right culture’ guidance and how it should be used to support service improvement and development. The provider did not have effective systems and policies in place to ensure the provision of safe, effective and responsive care. The service was not well-led and there was a lack of governance systems to ensure care met the minimum standards expected. We were not assured the provider and registered manager had the knowledge and skills to lead the organisation effectively. The provider had limited understanding of the specialised systems and processes required to ensure care and support for people with a learning disability, autistic people and children was safe and effective. The provider was in breach of the legal regulations relating to consent, safe care and treatment, good governance and recruitment of staff. We issued a warning notice for the breach of regulation 17 Good governance and requested improvement action plans for the breaches of regulation 11 Consent, regulation 12 Safe care and treatment and regulation 19 Recruitment of staff. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward. This service is being placed in special measures. The purpose of special measures is to ensure services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
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