49 Bath Road

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective

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.

This is the first assessment for this service. This key question has been rated outstanding. This meant people’s outcomes were consistently better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

This service scored 88 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Comprehensive assessments informed personalised care that improved outcomes. Leaders completed detailed pre‑ and post‑admission assessments with input from families, social workers and other professionals. These covered communication, sensory needs, behaviour, physical health, daily living skills and risks. Staff demonstrated a clear understanding of people’s needs, which professionals confirmed, noting good awareness of communication styles and behavioural presentation.

Staff developed care and support plans that reflected assessed needs and tailored these for autistic people and people with a learning disability. Plans included communication profiles, sensory guidance and positive behaviour support. Professionals reported measurable and sustained improvements, including reduced behaviours that challenge and improved wellbeing, showing assessments informed effective care.

Leaders reviewed assessments when people’s needs changed, including after incidents or periods of distress. Families described this as a responsive approach and said staff adapted support to maintain successful outcomes. Staff applied assessments in daily practice, using structured routines and clear planning to support understanding and reduce uncertainty.

Staff recognised subtle changes in presentation and adjusted support accordingly, which professionals confirmed. A trauma‑informed approach ensured staff considered people’s past experiences when planning care. This enabled staff to anticipate needs, reduce distress and behaviours that challenge, and support improvements in wellbeing, communication and independence.[

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care and treatment were consistently delivered using recognised, evidence‑based approaches, with skilled application of PBS leading to sustained improvements in people’s wellbeing, behaviour and health outcomes.

Staff applied a holistic PBS approach to understand sensory needs, communication and past experiences, and used proactive strategies to reduce distress. Behaviour records showed sustained reductions in behaviours that challenge and fewer physical interventions for some people.

Leaders ensured staff received specialist training, including PROACT‑SCIPr‑UK, (Professional Assault Response and Conflict Training – Strategies for Crisis Intervention and Prevention), which helped them understand behaviour, reduce escalation, and use the least restrictive interventions which strengthened capability through an in‑house instructor. Staff demonstrated strong practice, anticipating triggers and preventing escalation. External professionals confirmed clear expertise and reported measurable, sustained improvements. A behaviour specialist said leaders remained open to reflection and focused on improvement.

External professionals confirmed care reflected current good practice. One described “clear expertise on managing behaviour,” while another reported “measurable and sustained improvements.” A behaviour specialist said leaders were “open to reflection and motivated towards ongoing improvement,” supporting a strong learning culture.

Staff applied evidence‑based guidance flexibly to meet individual needs. Care plans included communication profiles, sensory preferences and behavioural triggers, and staff reviewed these following incidents or changes in need. Families described care as responsive and personalised. One relative said, “If something doesn’t go as expected, it is reviewed and adapted rather than stopped.”

Staff also supported physical health by promoting balanced diets while respecting choice, which contributed to improved outcomes, including significant weight loss for one person.

The consistent and skilled use of evidence-based approaches, particularly PBS, led to sustained and significant improvements in people’s lives. People experienced reduced distress, fewer incidents and greater emotional stability, alongside a reduced need for restrictive practices. This resulted in enhanced wellbeing, increased independence and consistently positive outcomes that exceeded expected standards.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked in strong partnership with people, families and external professionals to deliver coordinated, person‑centred care. They planned and communicated reasonable adjustments for healthcare appointments, enabling equitable access and positive experiences. Records showed staff consistently advocated for people, ensuring other providers met their needs.

Professionals were actively involved in assessments and ongoing reviews, and staff made timely referrals when needs changed. One professional told us, “The communication from the service is good and they always respond swiftly to requests or enquiries.” Another described the service as “collaborative and proactive,” noting staff would “quickly reach out” when risks increased.

Staff shared detailed knowledge of people’s communication styles, routines and behavioural triggers, which supported consistency. A behaviour specialist said staff were “respectful, supportive and caring,” and “open to reflection and feedback,” demonstrating a learning culture. Professionals reported “measurable and sustained improvements” in wellbeing, linked to consistent, joined‑up working across teams.

The service worked closely with external partners, including social workers and behaviour specialists, psychiatrists to review and adapt care. This reflected strong multi‑agency working, where staff contributed to shared planning and decision‑making to improve outcomes.

Families confirmed they were involved and kept informed. A relative told us, “Communication is very good,” and another said, “Management will look at what is needed to make it successful.”

This approach enabled timely, coordinated responses to changing needs, reduced risks and improved stability and wellbeing for people.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people to monitor their physical health through regular health observations, including weight, blood pressure and pulse checks. Records showed these checks were offered routinely and results were recorded where people agreed. Where people declined health checks, staff clearly recorded this as “refused” and continued to offer support without pressure, demonstrating respect for consent and autonomy.

Staff understood people’s physical health needs, dietary requirements and daily routines. Professionals said staff showed “good awareness of physical health needs” and responded appropriately when people’s health needs changed. Staff remained alert to potential health concerns and continued monitoring over time to support early identification of changes.

Support focused on emotional regulation, maintaining stability and enabling meaningful activity as part of a holistic approach to health. Families recognised this person‑centred approach. A relative told us, support was tailored to meet their family member’s needs.

These approaches supported people’s physical and emotional wellbeing, respected individual choice and contributed to improved quality of life.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

The service had systems in place to monitor outcomes at both service‑wide and individual levels. Behaviour data, incident trends and PBS measures were routinely reviewed to understand patterns and assess impact. External PBS input supported the development of reliable data collection systems, which enabled staff and leaders to monitor changes in behaviours of concern and evaluate the effectiveness of support strategies. Service‑wide data showed improved outcomes over time, including reduced risk profiles and sustained placement stability.

Person‑specific monitoring showed positive outcomes for individuals. Data demonstrated reductions in behaviours of concern for most people following PBS input, with an overall reduction in average risk scores. All residents had behaviour support plans, communication profiles and sensory profiles in place, which were reviewed and updated when needs changed. There were no hospital admissions and no placement breakdowns during the reporting period, indicating that monitoring supported early intervention and stability.

Health professionals confirmed the impact of this approach. A General Practitioner (GP) said staff “demonstrate a thorough understanding of their residents’ individual needs” and were “attentive to changes in residents’ conditions,” with a proactive approach to seeking medical advice when needed. The GP also described care records as “detailed” and said this supported seamless communication with primary care.

Staff confidence and consistency also improved. External reports showed increased staff confidence in following PBS plans and reduced use of restrictive practices, supported by regular review and feedback.

These effective monitoring systems and outcome-focused practice enabled the service to achieve measurable, sustained and person-specific improvements. People experienced greater stability, reduced risks and improved quality of life. This ensured care was continually optimised, leading to consistently positive and improving outcomes across the service.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People gave informed consent, and staff supported them to make day‑to‑day decisions in line with the Mental Capacity Act 2005 (MCA).

People chose what they did, what they ate and how they spent their time. Where people could not verbally express choices, staff followed tailored communication plans. This supported people to remain in control of their lives.

The registered manager and team leaders completed mental capacity assessments where needed. These were decision‑specific, time‑specific and person‑centred, in line with MCA principles. Staff involved others appropriately, such as family members or professionals.

Where people lacked capacity, staff made best‑interest decisions. Records showed these followed MCA requirements, including consideration of the least restrictive option. Documentation recorded how decisions were reached, who was involved and when they were reviewed.

Deprivation of Liberty Safeguards (DoLS) authorisations were in place where people were deprived of their liberty. The provider monitored these and ensured conditions were followed.

The provider gave people information about options, in accessible formats. Staff used picture cards, photographs and objects of reference to support understanding and communication.