Exclusive Care Services

During an assessment under our new approach

We completed this assessment on 12 November 2024. We assessed a number of quality statements from the safe, effective, caring, responsive and well-led key questions and found areas of good practice. At our previous assessment in February 2024 150 people were receiving support from the service. At this assessment 7 people were receiving support. The provider’s registered office location changed before our previous assessment in February 2024 was completed. This assessment has been archived under the provider’s old location as well as being duplicated under the provider’s newly registered location. We have not previously rated this newly registered location. This assessment did not cover all parts of our Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings. This service (under the provider’s old location) has been in Special Measures since March 2024. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate in any of the key questions. Therefore, this service is no longer in Special Measures. The service had made improvements and is no longer in breach of regulations. Staff now assessed and mitigated risks. Care plans now guided safe practice. The provider now had enough suitably qualified and trained staff to ensure people’s safety and meet their needs. People were now supported to have choice and control and were involved in planning their care. There was now more robust oversight of the safety and quality of care.

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During an assessment under our new approach

We completed the assessment between 27 February 2024 and 04 March 2024. The provider’s registered location changed before our assessment was completed. This assessment has been archived under the provider’s old location as well as being duplicated under the provider’s newly registered location. People did not always receive good quality care and support because staff were not always trained to meet their needs. Staff had failed to ensure the risk of a closed culture was minimalised. The provider had failed to ensure effective systems were in place to safeguard people from the risk of harm and abuse. Incident and accident management were inadequate and not effective. Medicines were not always managed safely. People’s needs were not sufficiently assessed, and care plans were not regularly updated to reflect changes in people’s needs. The management and oversight of the service was inadequate. The provider had failed to identify the urgent and serious, widespread concerns that were identified during the assessment. 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. The provider had failed to ensure they met the principles of ‘Right support, right care, right culture’. We found 7 breaches of the legal regulations in relation to safeguarding, safe care and treatment, staffing, dignity and respect, person centred care, notifications and governance. We took urgent action to prevent the provider from re-admitting people back into the service and from taking on new packages of care.

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