- Care home
Archived: Nerissa House
Assessment report published 19 September 2025
Contents
Ratings
Our view of the service
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.
People's experience of this service
People were not being protected from the risks of harm and abuse. Where incidents and accidents occurred, these were not being consistently reported to external professionals to ensure they received the correct aftercare. People living at the service did not have detailed care and support plans in place to ensure staff knew how to monitor and meet their needs safely to achieve best care outcomes.
People at the service were not able to tell us about their experience living at Nerissa House. However, we observed people living in a poorly maintained, dirty and sparse environment. One person had little or no access to outside space and no stimulating activities. We observed people in distress several times during our inspection and staff unable to support people appropriately. This did not meet expected standards, in line with the Right support, right care, right culture guidelines. People’s wishes, goals and desired outcomes were not being recorded and reviewed to ensure these were achieved. Staff had not received specialist training to ensure they understood how to safely support people using the least restrictive way.