- Care home
Tottle Brook House
Assessment report published 10 February 2026
Contents
Ratings
Our view of the service
Date of assessment 11 November 2025. We announced our visit to the provider, to ensure they could prepare people for our visit.
Tottle Brook House is a purpose-built service, with people living in their own flatlets on site. The service has shared communal facilities, and an accessible, well maintained garden area. The service is registered to provide accommodation with personal care, for a maximum of 5 people. On the date of our assessment, 5 people were living at Tottle Brook House.
The assessment was completed by 1 inspector and 1 Expert by Experience. Experts by Experience are people who have lived experiences of a specific service type and who engage with people to obtain their views of the care and support they receive.
The service has a registered manager in place.
An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability.We have assessed the service against ‘Right support, right care, right culture’ 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.
The service provided exceptionally tailored care, support and treatment from a compassionate, trained staff team, who were skilled, knowledgeable, and able to meet people’s needs. Managers ensured that staff had relevant training, regular supervision and appraisal. If restrictive practices were used, there was a reporting system in place and there were comprehensive reviews to try and reduce the use of these practices.Staff fully understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.
Staff supported people with recognised models of care and best practice for people with a learning disability or autistic people. Leadership was excellent, and governance processes helped the service to keep people safe, protect their human rights and provide good care and support. The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.The model of care and setting fully maximised people’s choice, control and independence. Care provision was exceptionally person-centred, ensuring people’s dignity, privacy and human rights were fully respected.
The service had built up a positive partnership approach, to ensure people were supported by a fully wrap-around care team. Feedback we received from all partners was positive. With external teams praising the approach of the management and staff team.
People's experience of this service
People were truly respected and valued as individuals; and empowered as partners in their care in an exceptional service.
People’s care and support was provided in a safe, clean, well equipped, well-furnished and well-maintained environment which met people's sensory and physical needs.
People told us staff knew them well and they got to do the things they enjoyed, for example, one person said, “I like walking every day and I like cooking stir fry and bolognaise are my favourites.”
People were protected from abuse and poor care. The service had sufficient, appropriately skilled staff to meet people’s needs and keep them safe. People told us staff understood them as an individual, and celebrated their skills, achievements and goals.
People were supported to be independent and had control over their own lives. Their human rights were fully upheld.
People told us they were fully engaged as partners in their care planning, and supported with creating, meaningful, person centred support plans.
People received exceptionally kind and compassionate care from staff who protected and respected their privacy and dignity and understood each person’s individual needs. Staff knew people very well, which meant people’s communication needs were met and information was shared with them in a way they could understand.
People’s risks were assessed regularly and managed safely. People were involved in managing their own risks whenever possible, and supported to understand and reflect on risk taking behaviours.
People made choices and took part in activities which were part of their planned care and support. Staff supported people to have wishes and ambitions and to achieve their goals.
People’s care, treatment and support plans, reflected their sensory, cognitive and functioning needs.
People received care, support and treatment that met their needs and aspirations. Care focused on people’s quality of life and followed best practice. Staff used clinical and quality audits to evaluate the quality of care.
People and those important to them, including advocates, were actively involved in planning their care. A multidisciplinary team worked well together to provide the planned care.
People had clear plans in place to support them in a community setting. Staff worked well with services that provide aftercare to ensure people received the right care and support.