49 Bath Road

We assessed the service against ‘Right support, right care, right culture’ guidance to determine whether it ensured people with a learning disability and autistic people received respect, equality, dignity, choice, independence and access to their local community. The service showed a strong commitment to high‑quality, person‑centred care and worked in line with this guidance.

People experienced personalised care that reflected their individual communication needs, preferences and behaviours. Staff had a detailed understanding of people and used this knowledge to provide proactive, consistent support, which resulted in sustained positive outcomes. These included improved emotional wellbeing, reduced behaviours of concern, and increased stability. Families and professionals consistently described people as settled, making progress and benefiting from a service that understood and responded to their needs.

The service operated from a small, community-based setting, which supported people to live more independent and meaningful lives. People were actively supported to access community opportunities, maintain relationships and participate in activities that reflected their interests and goals. Care was structured to maximise choice, control and inclusion, in line with best practice for learning disability services.

There were robust and well-embedded systems to support safety. Staff demonstrated strong safeguarding knowledge and applied a person-centred approach to risk management, enabling people to engage in meaningful activities while remaining safe. A culture of openness and learning was evident, with leaders and staff reflecting on incidents and using learning to strengthen practice and reduce future risks.

Care delivery was effective and evidence-based, supported by the consistent use of Positive Behaviour Support (PBS). Assessments were comprehensive and regularly reviewed, ensuring care remained responsive to changing needs. Systems for monitoring outcomes showed clear improvements over time, including reduced reliance on restrictive practices and stable placements, reflecting effective and coordinated support.

The service was caring, with staff demonstrating kindness, compassion and respect in all interactions. People were supported to express their views using personalised communication approaches and were involved in decisions about their care. Relationships between staff and people were positive and supportive, contributing to a strong sense of trust and emotional security.

The service was responsive and adaptable, with staff adjusting care approaches in a timely way when people’s needs changed. Consistency of staffing supported continuity of care, enabling strong relationships and reducing anxiety. Accessible information and clear communication ensured people and their families remained informed and involved.

Leaders were visible, supportive and values-driven, creating a positive and inclusive culture focused on high-quality, person-centred care. They promoted a strong learning culture, encouraging reflection, openness and continuous improvement. The service demonstrated innovative practice, including the development of bespoke systems to improve care delivery and governance, alongside proactive partnership working to strengthen workforce development and support complex transitions.

Governance systems were effective in monitoring quality, safety and outcomes, with leaders using data, feedback and professional input to drive improvements and maintain high standards.

Overall, the provider delivered safe, effective and person-centred care, with consistent outcomes for people. Leadership, innovation and effective oversight supported people to develop independence, achieve positive outcomes and live meaningful lives within their community.