Head Office

Updated 9 April 2024

Date of assessment 22 April 2024 to 13 May 2024.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance 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.

At the last inspection we found nine breaches of the legal regulations in relation to safeguarding, safe care and treatment, staff training, staff recruitment, consent to care, person centred care, dignity and respect and governance. At this assessment we found these concerns had not been addressed.

Staff did not always assess risks to people's health and safety or mitigate them where identified. People did not always have detailed care plans to guide safe practice.

Staff were not always suitably trained or safely recruited. There were not always sufficient staff deployed.

People were put at risk of restrictive practices and mental capacity assessments were not always in place.

Governance systems and audits were not effective in identifying or addressing areas for improvement.

Updated 9 April 2024

Relatives of people did feedback there were aspects to the delivery of care they were very positive about including staff interactions. People and relatives told us staff were “kind”, “nice”, and “great”. However, people and their relatives gave mixed feedback on the provision of activities available within the service. People were not always supported to take part in activities that were meaningful to them. Risks associated with people’s care was not always being undertaken in a safe way. Those with communication needs were not always supported to have their voices heard. For people with a learning disability, the principles of Right support, right care, right culture (RS,RC,RC) were not met as the model of care provided did not allow people to live empowered lives with maximum choice and independence. Relatives told us they did not always feel management listened and responded to concerns. One relative told us, “Management are always very defensive.” Another relative said, “[Management] are not helpful.” However, they felt the team leaders within the houses were “very good” and listened to concerns.