- Care home
49 Bath Road
Assessment report published 6 July 2026
Contents
Ratings
Our view of the service
This was the first assessment of the service, carried out between 19 and 27 May 2026. The service was registered on 20 April 2023.
49 Bath Road provides care and support for up to 10 adults under 65 with learning disabilities and autistic people.
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.
People's experience of this service
People’s experience of the service was positive, and families consistently described high levels of confidence in the care and support provided. Feedback showed people experienced care that was personalised, respectful and responsive to their individual needs. We spoke with 6 family members, all of whom were very satisfied with the care their relatives received. Families described staff as skilled, well trained and attentive, highlighting the time staff took to understand each person’s unique communication and behaviour. A family member told us, “Everything is personalised to meet my loved one’s needs, the staff team took time to understand my loved one’s mannerisms and gestures; it reduces frustration and has built confidence and trust in the support team.” People were supported to take part in meaningful and well-planned activities, which were regularly reviewed to ensure they remained enjoyable and successful. Families said the service was flexible and adapted staffing or plans where needed. This proactive approach helped ensure activities met people’s needs and promoted positive experiences. Positive outcomes were also evident for people who displayed behaviours that challenge. Families described how staff recognised early signs of distress and used effective de-escalation techniques, which resulted in fewer incidents, reduced need for physical intervention and shorter durations. As a result, people were described as calmer, more settled and benefiting from a good balance between activity and rest. The service respected people’s protected characteristics, cultural needs and personal preferences. People were supported to practise their faith in meaningful ways, and dietary needs, including halal requirements, were consistently met. This contributed to people feeling valued and respected as individuals. Families felt included, informed and reassured. Communication was described as good, with regular updates, shared photographs and involvement in care planning and reviews. Another relative told us they felt “valued, respected and reassured that [their loved one] is safe and happy.” People experienced care that promoted dignity, trust and quality of life, and feedback reflected strong confidence in the service and the staff team.