Rebe

Who the service is for

This service supports autistic people and people with a learning disability. The service uses a household model of care. People live in small groups that share a kitchen, lounge and dining area, but have their own room with en-suite. This helps create a familiar home environment where staff can support people in a more personal and flexible way.

Key findings

We carried out this assessment on 15 July to 14 August 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

People’s risks were assessed and people and their relatives were involved in the process; there were systems to ensure the environment was safe.

There were effective systems to safeguard people from abuse. Staff and managers had completed relevant adult safeguarding training for their roles and were informed about safeguarding practices and how to report concerns. Staff told us they were confident in speaking up and raising any concerns, “I have no qualms doing this. I am always comfortable approaching management here. I have not had to formally whistle blow in 15 years.”

Medicines were administered safely. Staff had been trained in medicines management and records demonstrated people received their medicines as prescribed.

People were supported by enough staff who had the skills and knowledge to support them safely. Staff had completed their required training and attended refreshers. Training included learning disabilities, equality and diversity and LGBQT+ topics. A senior staff member told us, “It is good. We get refresher courses regularly. We always listen to staff who say they would like more training on something. For example, we identified that we had gaps in our knowledge on LGBQT+.”

The provider met the requirements of the Accessible Information Standard. Communication support was provided on an individual basis in the form of Makaton sign language, social stories and pictorial guides. They used easy to read booklets to help people understand medical treatments, bereavement and safeguarding.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the service was fully compliant with the guidance.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives.

A stakeholder partner recently visited and assessed a person for a further DoLS authorisation. Their findings corroborated the service were working within the principles of the MCA. They confirmed staff minimised restrictions by using verbal prompts, visual aids, and positive reinforcement rather than physical intervention. The person’s choice and control was promoted by offering choices in meals, clothing, activities, and daily routines. Staff adapted communication to the person’s needs. Independence was encouraged by supporting the person to complete tasks they could safely manage, such as simple meal preparation and tidying their room.