Kingswood House

Date of assessment: 5 May to 21 May 2026. Kingswood House is a care home registered to provide personal care and nursing care. The service primarily supports autistic people or people with a learning disability. The service can support up to 6 people and was supporting 5 people at the time of the assessment. This assessment was comprehensive which means we looked at all the key questions of safe, effective, caring, responsive and well-led.
The provider was previously in breach of legal regulations in relation to safe care and treatment of people, safeguarding and good governance. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.
This service has been in Special Measures since 3 December 2025. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
We carried out this inspection to follow up on previous concerns found at the service. 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 most people take for granted. We were assured that the service was operating in line with the guidance due to improvements found during the assessment.
We found significant improvements in all areas at this assessment, and the service has been rated good overall. We found some areas such as record keeping and information sharing did still require some improvement however a plan was in place to address these concerns and progress had been made.
We found that staff worked safely to support people at the service and received appropriate training, guidance and support. Staff were recruited safely and understood their duties in relation to identifying and reporting safeguarding concerns.
People were supported to have choice and control in their day to day lives and incidents at the service had reduced significantly since the last assessment.
The staff team were kind and caring and knew the people they supported well. Staff actively contributed their ideas for service improvement.
A stable management team was in place at the service, and this had had a positive impact on people, relative and staff. Managers at the service demonstrated an ongoing commitment to service improvement.

Date of assessment: 15 October to 23 October 2025. Kingswood House is a care home registered to provider personal care and nursing care. The service primarily supports autistic people or people with a learning disability. This was the first inspection of the service and the inspection completed was comprehensive. This means we looked at all the key questions of safe, effective, caring, responsive and well-led.

We carried out this inspection because the service was unrated. 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 most people take for granted. We were not assured that the service was operating in line with the guidance due to concerns found during the inspection.

We found that the service did not learn from incidents and was not working to reduce restrictive practices for the people they supported. The service was not following its own policy in relation to learning from incidents. Although some work had started to improve this, this was not embedded and had not produced any positive results at the time of the inspection. Concerns raised by professionals had not been acted upon in a timely manner. The service was in organisational safeguarding with commissioning bodies. Some assessments were missing from people’s care plans and records were of poor quality and did not indicate plans in place were followed by staff. The service showed signs of disorganisation; people had health missed appointments and some relatives felt communication was poor.

The service had gone through instability in the management team and this had had a detrimental impact on the quality of care provided. There was a lack of oversight and supervision of staff, as a result staff had not been led by example or supported to work to the best of their abilities and in line with people’s agreed plans.

The provider was in breach of 3 legal regulations. These related to the safe care and treatment of people, safeguarding and good governance. We have issued 2 warning notices to the provider. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward. This service has been rated inadequate and is being placed in special measures. The purpose of special measures is to ensure services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.