42 Twyford Gardens
- Care home
- 4 beds
- No nursing
- Registered since 2020
- Goring-by-Sea, West Sussex, South East
Requires improvement
Rated on
Rating from the Care Quality Commission.
At a glance
4 ratings
First rated Good in 2015, most recently Requires improvement in March 2026.
7 months
since the latest rating was published.
47 of 309
rated care homes in West Sussex are rated Requires improvement, like this one.
42 Twyford Gardens: inspection record
Rated Requires improvement in March 2026.
| 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | ||||||||||||
| Safe | ||||||||||||
| Effective | ||||||||||||
| Caring | ||||||||||||
| Responsive | ||||||||||||
| Well-led |
Ratings published by the Care Quality Commission.
Compare nearby
Nearest rated Good or Outstanding: The Heathers (Good, 0.2 miles away) and The Corner House (Good, 0.2 miles away).
Nearest care homes:
- G The Heathers Good, 0.2 miles away
- G The Corner House Good, 0.2 miles away
- G 56 Stone Lane Good, 0.3 miles away
- G 19 Stone Lane Good, 0.3 miles away
- G Longacre Care Home Limited Good, 0.5 miles away
What inspectors found
From the Care Quality Commission's assessment published 27 March 2026 (assessment visit 28 October 2025). Quoted under the Open Government Licence.
42 Twyford Gardens is a care home providing accommodation and personal care to people with a learning disability, mental health conditions and autistic people.
- Safe No rating
- Effective Good
- Caring Good
- Responsive No rating
- Well-led No rating
Read the rest of CQC's summary
We conducted an assessment which included two onsite visits 29 October 2025 and 3 November 2025 alongside the provider sending us information until the 6 November 2025.
This was a comprehensive assessment and was conducted due to the services previous rating of requires improvement and to follow up on the previous breaches of regulations.
The provider was previously in breach of the legal regulation in relation to governance. Whilst some improvements had been made at this assessment they remained in breach of this regulation.
The provider did not have clear systems of accountability and good governance. They did not act on the best information about risk, performance and outcomes. Auditing systems had failed to identify shortfalls.
The assessment process in operation was not effectively mitigating risk for a person resulting in significant impact for both them and others living in the service. Staffing levels had not been reviewed following a new person moving in. Care planning documents did not always reflect people’s current needs. Specific information was not always considered when creating support plans. Policies in relation to people’s finances were not always followed. Risk assessments were inconsistent and did not always consider peoples specific needs around support when people experienced periods of distress.
There were some shortfalls with senior staff understanding their responsibilities to support speaking up, following our feedback the provider took immediate action to resolve this. Care management processes were not always monitored effectively to ensure leaders and staff always had the skills, guidance to support people safely.
Staff demonstrated a strong knowledge of people’s rights to make choices, understanding the principles of the Mental Capacity Act (MCA) 2005 and promoting independence. People told us they were supported by kind staff who respected them and their choices.
There were improvements with medicines processes, and the provider was no longer in breach of safe care and treatment. The service continued to embed these improvements.
Managers had created a positive culture in the service in which the staff provided support to people in a friendly caring manner and treated the people they support with respect and dignity.
The provider was previously in breach of the legal regulations in relation to person centred care, dignity and respect, need for consent, staffing and safeguarding service users from abuse and improper treatment. At this assessment improvements have been made, and the provider was no longer in breach of these regulations.
We have assessed the service against ‘Right support, right care, right culture’ (RS,RC,RC) 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 people were mostly being supported in line with this guidance but there were some barriers around good access to local communities' people were experiencing which the service was working on resolving.
-
Safe
No rating
Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.
The provider was previously in breach of the legal regulation in relation to safeguarding. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
The provider was previously in breach of the legal regulation in relation to Staffing. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
The provider was previously in breach of the legal regulation in relation to safe care and treatment. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
-
Effective
Good
Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were often good, and people’s feedback confirmed this.
The provider was previously in breach of the legal regulation in relation to Need for consent. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
-
Caring
Good
Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.
The provider was previously in breach of the legal regulation in relation to Dignity and respect. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
-
Responsive
No rating
Responsive – this means we looked for evidence that the provider met people’s needs.
At our last assessment we rated this key question Requires improvement. At this assessment the rating has remained Requires improvement. This meant people’s needs were not always met.
The provider was previously in breach of the legal regulation in relation to Person-centred care. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
-
Well-led
No rating
Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.
At our last assessment we rated this key question Requires improvement. At this assessment the rating has remained Requires improvement. This meant people’s needs were not always met.
The provider was previously in breach of the legal regulation in relation to good governance. Whilst some improvements had been made at this assessment the provider remained in breach of this regulation.
For example, people’s care records being up to date and accurate and information oversite of people's assessments.
Questions to ask when you visit
- Safe was rated Requires improvement on 27 March 2026. Ask how medicines are managed, how staffing levels are decided and how incidents are reviewed.
- Responsive was rated Requires improvement on 27 March 2026. Ask to see how care plans are kept up to date, how complaints are handled and what activities are on offer.
- Well-led was rated Requires improvement on 27 March 2026. Ask about changes in management and what has changed since the report.
Registration details
- Registered with the CQC since
- What it provides
- Care home service without nursing
- Who it supports
- Learning disabilities or autistic spectrum disorder, Physical Disability, Younger Adults
Inspection report
Read the full inspection report (opens the Care Quality Commission website)1 inspection report, latest 4 November 2022. Latest assessment published 27 March 2026; the Care Quality Commission's newer assessments are published on its website rather than as reports.
The rating is the Care Quality Commission's. We show it as published and do not change it.
Who runs it
- Provider
- Achieve Together LimitedBrand: Achieve Together
- Ownership type
- Organisation
- Companies House number
- 03153442 (opens Companies House)
Achieve Together Limited runs 160 services in England, 63 of them in the South East. 128 are rated Good or Outstanding, 25 are rated Requires improvement or Inadequate and 7 have no rating yet.
Other services run by Achieve Together Limited
- O Addington Road Outstanding. Care home, North Northamptonshire, East Midlands
- O Hayway Outstanding. Care home, North Northamptonshire, East Midlands
- O Highfields Outstanding. Care home, Derbyshire, East Midlands
- O Irchester 168 Outstanding. Care home, North Northamptonshire, East Midlands
Getting help from West Sussex County Council
The council can assess what care someone needs and tell them what help with the cost they may get.
- Adult social care at West Sussex County Council
- Ask for a care needs assessment
- Phone: 01243 642121, Monday to Friday, 9am to 5pm
- Contact adult social care online
- Support for carers
- Paying for care: West Sussex County Council
Checked on the council's website, November 2026.
Common questions
- Does 42 Twyford Gardens provide nursing care?
- No. The Care Quality Commission lists 42 Twyford Gardens as a care home without nursing.
- How many beds does 42 Twyford Gardens have?
- The Care Quality Commission's register lists 4 beds at 42 Twyford Gardens.
- When was 42 Twyford Gardens last inspected?
- The Care Quality Commission's latest rating for 42 Twyford Gardens was published on 27 March 2026.
- Who runs 42 Twyford Gardens?
- 42 Twyford Gardens is run by Achieve Together Limited. It runs 160 services in England, 63 of them in the South East.
- What is 42 Twyford Gardens's CQC rating?
- Its overall rating from the Care Quality Commission is Requires improvement, published on 27 March 2026.
Contact
- Phone
- 01903 263906
- Address
- 42 Twyford Gardens, Worthing, BN13 2NT Map (opens Google Maps)
Compare nearby
Nearest rated Good or Outstanding: The Heathers (Good, 0.2 miles away) and The Corner House (Good, 0.2 miles away).
Nearest care homes:
- G The Heathers Good, 0.2 miles away
- G The Corner House Good, 0.2 miles away
- G 56 Stone Lane Good, 0.3 miles away
- G 19 Stone Lane Good, 0.3 miles away
- G Longacre Care Home Limited Good, 0.5 miles away