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Inspection Summary

Overall summary & rating


Updated 11 September 2021

About the service

Middleton’s Lane is a care home without nursing. It supports up to six people with a learning disability or autism. At the time of inspection there were six people using the service. Each person has their own flat within the main building comprising of private lounge, kitchen, bedroom and bathroom. There are also shared gardens and a communal lounge and kitchen. There are two offices within the building.

People’s experience of using this service and what we found

People told us they liked living at the service and they were happy. They told us staff were nice to them and supported them to make choices, access health professionals and activities.

People and relatives told us they were supported to stay in touch throughout the pandemic in person, as well as by use of telephone and video calls. People had any risks for accessing the community assessed and were supported by staff to do so.

Relatives told us staff communicated well with them. People and relatives were both happy and confident to speak with the registered manager or staff team if they had any concerns.

People were supported safely to manage their medicines and health conditions. Staff had a good understanding of people’s needs and preferences.

People were safe as they were supported by staff who understood about the risks of COVID-19 and had abuse awareness. Staff understood how to report concerns to keep people safe and where to go for additional advice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of safe and well-led; the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

People told us staff treated them well and they were able to do what they wanted to do. Relatives also told us that staff always treated their family member with respect and kindness.

The model of care supported individualised care that maximised people’s choice and control as they were supported in their own flats and each person had individual staff support. This meant their environment was designed to suit their own needs and tastes and they had full control of who entered and how it was used.

This also meant people were able to follow their own plan of activities with flexibility built in to make changes where they wished. There was always a staff member there for them to engage and interact and offer support.

The registered manager was able to evidence how they promoted valuing people principles and had created a culture or person-centred care and respect. This was observed in practice where staff were seen interacting in ways that promoted people’s independence and dignity and empowered them to make choices and decisions for themselves.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 29 March 2019).

Why we inspected

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We received concerns about the provider’s governance systems and oversight of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings fro

Inspection areas



Updated 11 September 2021

The service was safe.

Details are in our safe findings below.



Updated 11 September 2021



Updated 11 September 2021



Updated 11 September 2021



Updated 11 September 2021

The service was well-led.

Details are in our well-led findings below.