Blair House

Updated 12 February 2026

Date of assessment: 25 February to 11 March 2026

Blair House is a service for people with a learning disability and autistic people and supports up to 27 people. We assessed the service against Right support right care right culture guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect equality dignity choices independence and good access to local communities that most people take for granted.

This service would not meet current Right support right care right culture guidance for new registrations. The size and layout of the building and the shared staffing arrangements sometimes limited people’s independence and control. However staff and managers made active efforts to reduce the impact of these limitations and supported people to make choices and be as independent as possible within the constraints of the environment.

The service had systems in place to keep people safe. Staff understood safeguarding procedures monitored risks and used individualised approaches to reduce restrictions. Incidents were reviewed and learning was shared. Care was based on thorough assessments that considered people’s physical mental health social and communication needs and staff used recognised tools to monitor risks. Medicines were managed safely overall although some records including diabetes and epilepsy care plans required further detail to ensure they contained all the information staff needed to support people safely. Infection control procedures were followed and most areas were clean with some flooring requiring improvement.

Staff worked well with external professionals and shared information effectively so care remained consistent. People were supported to manage their health and wellbeing and staff acted quickly when needs changed. Staffing levels met agreed arrangements although having staff shared across a large group sometimes limited flexibility. Staff and managers worked hard within these constraints to maintain independence and support meaningful choice.

Recruitment was safe and staff had the skills they needed with plans in place to complete outstanding training. Managers promoted an open and supportive culture and staff felt able to raise concerns. Governance systems provided effective oversight of quality and safety.

Updated 12 February 2026

People were treated with kindness and respect and staff supported them in ways that promoted dignity. Relatives described staff as caring and attentive. One relative said, “The staff are great, they are kind, gentle and respect my loved one’s dignity. They are always available when needed.”

Staff knew people well and used this knowledge to support their choices, routines and preferences. A relative told us, “I can tell that the staff genuinely care, they are enthusiastic and talk to my loved one just as they would to anyone else.”

People said they could make day to day decisions and were encouraged to be as independent as possible. They told us they were supported to do activities they enjoyed, but some said there were times when they had to wait as staff were shared across a large group. However, staff and managers worked within these constraints to maintain opportunities for people to take part in activities that mattered to them.

People stayed connected with friends and family. Some relatives shared positive views about communication, with 1 relative saying, “The home will phone me whenever there is an incident or a positive event. I feel the team are transparent.”

People received prompt support and staff noticed when reassurance or space was needed. Relatives told us they felt listened to and involved. One relative said, “If I have something to say, I always feel that I am listened to and I get an appropriate response.”