Updated 28 May 2026
We have not rated the service at this assessment. Previous enforcement action was in place because of concerns about safety, risk management and governance. At this assessment, we found the provider had made clear improvements. Leaders now had better oversight of the service, staff understood how to recognise, record and escalate incidents, and there was evidence that risks, incidents and near misses were reviewed and used to improve practice. Risk assessments and care plans were detailed, child-centred and regularly reviewed, and staff used clear strategies to support children safely, including adapted communication, visual prompts, reassurance and least restrictive approaches. Medicines were managed safely, with appropriate storage, stock checks, MAR processes, nurse oversight and regular audits. Safeguarding arrangements were effective, staff had received relevant training, and staff told us they felt able to raise concerns.
Children received personalised care and treatment that met their complex health, emotional and communication needs. Staff worked well with health, education, social care professionals and families to plan and review care. Since the last assessment, the provider has improved engagement with CQC and partner agencies, strengthened staff training and clinical oversight, and developed clearer systems for monitoring risks, incidents, medicines, supervision and care planning. These improvements meant children were now supported by staff who understood their needs and worked in a more coordinated and responsive way. We found no breaches at this assessment.