During an assessment under our new approach
We completed inspection visits to Nerissa House on 6 and 23 June 2025. This is a service for younger adults with complex needs including learning disabilities and autistic people. At the time of the inspection 2 people were living at the service, 1 of whom was a child. This service was registered to provide support to 1 person only over the age of 18. People did not receive personalised care and were not protected from the risk of harm and abuse. People’s individual risks were not well managed or reflected in their care records, with a lack of mitigation in place. There was a lack of provider oversight at the service, and no monitoring arrangements in place where people required regular weight monitoring, placing their health at risk. Staff had not received specialist training to ensure they could best support people living with behaviours they may display when their needs are not being met. The provider did not have reporting processes in place to protect people following accidents and incidents including the use of physical restraint.
At this assessment, we have identified 7 breaches of the regulations, for person-centred care, safe care and treatment, safeguarding, nutrition and hydration, premises and equipment, good governance and staffing. 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.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.