Loading
Date of assessment: 9 September 2025. This service is registered to support people with physical disabilities, autistic people and people with a learning disability. Not everyone supported by this service received the regulated activity of personal care. This inspection looked at people’s personal care and support. At the time of our inspection, the provider was supporting 1 person with personal care. There was a closed culture at the service. A "closed culture" is a poor culture that can lead to harm, including human rights breaches and abuse. We found a poor culture across the entire service, which had not been recognised or addressed by the provider. ‘Right support, right care, right culture’ (RSRCRC) is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We have assessed the service against ‘Right support, right care, right culture (RSRCRC)’ 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 that most people take for granted. The registered manager lacked knowledge about RSRCRC and therefore the principles had not been embedded into the service. Systems and processes to ensure that safeguarding and incidents were recorded and reported appropriately continued to not be robust. Systems to review and improve the quality of the service had not improved the service since our last inspection. There was a lack of learning and improvement in areas highlighted within our previous inspection on 23 September 2024. The provider was previously in breach of the legal regulation in relation to safeguarding, safe care and treatment, staffing, need for consent and good governance. The provider’s safeguarding processes were not effective in recognising and acting on all safeguarding concerns raised by people. Risks to people were not always effectively identified and assessed. The provider did not have effective systems and processes in place to ensure staff competencies were appropriately checked and monitored. The provider did not ensure people’s mental capacity was adequately assessed and that they supported people to fully engage in the assessments. People were at risk of their rights not always being upheld and their unwise decisions not being respected. The provider’s systems and processes did not fully consider national best practice guidance on supporting people with learning disability and autistic people, for example around assessing their needs, wishes and experiences of living with a learning disability. Improvements were not found at this assessment, and the provider remained in breach of these regulations. Additionally, we have identified new breaches of legal regulations in relation to providing person centred care, and the safe 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 remains in special measures. The purpose of special measures is to ensure that 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.
npm run etl:reports -- --location 1-4719082999.Date of assessment: 23 September to 03 October 2024. An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability. 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 that most people take for granted. We found 5 breaches of legal regulations in relation to safeguarding, safe care and treatment, staffing, need for consent and good governance. The provider’s safeguarding processes were not effective in recognising and acting on all safeguarding concerns raised by people. Risks to people were not always effectively identified and assessed. The provider did not have effective systems and processes in place to ensure staff competencies were appropriately checked and monitored.. The provider did not ensure people’s mental capacity was adequately assessed and that they supported people to fully engage in the assessments. People were at risk of their rights not always being upheld and their unwise decisions not being respected. The provider’s systems and processes did not fully consider national best practice guidance on supporting people with learning disability and autistic people, for example around assessing their needs, wishes and experiences of living with a learning disability. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
npm run etl:reports -- --location 1-4719082999.npm run etl:reports -- --location 1-4719082999.