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Inspection Summary

Overall summary & rating


Updated 19 October 2019

About this service

Horton House provides personal care in people's own homes. At the time of the inspection the service provided personal care and support to nine people living in their own homes.

The service provided support to younger adults with learning disability, autistic spectrum disorder, sensory impairment and physical disability. Personal care was provided to people as they required it. The service also provided other forms of social care support that are not included within CQC's registration requirements for a supported living service. For example, the service assisted people with their housekeeping, shopping, attending appointments and other independent living skills.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People told us they felt safe with staff who supported them. The provider had policies and procedures in place designed to protect people from the risk of suffering harm and abuse. Risk assessments were in place which identified possible risks to people living in their own homes.

People's needs were assessed before the service started to support them, to ensure their needs could be met. People's needs were met by suitable numbers of staff.

People were supported by staff who were well trained to meet their individual needs. The service worked closely with people’s families and other professionals to improve the care and support they provided.

Staff asked people for their consent before supporting them. People felt they were supported well by the staff team, who respected their choices and decisions. People were supported by staff who respected and promoted their privacy, dignity and independence.

People, and those close to them, were involved in planning and reviewing their care which meant care plans were specific to each individual. People's communication needs were identified within their care plans. People’s views were central to how the service was run.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service was well managed; management were open and honest. There were effective systems to monitor the quality and safety of the service. There was a strong commitment to continuous improvement.

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 (Report published 8 November 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 19 October 2019

The service was safe.

Details are in our safe findings below.



Updated 19 October 2019

The service was effective.

Details are in our effective findings below.



Updated 19 October 2019

The service was caring.

Details are in our caring findings below.



Updated 19 October 2019

The service was responsive.

Details are in our responsive findings below.



Updated 19 October 2019

The service was well-led.

Details are in our well-Led findings below.