Archived: 23 Pierrepoint Road

Updated 30 January 2026

Date of assessment: 6 to 9 March 2026.

23 Pierrepoint Road is a care home for up to 11 adults with a learning disability. At the time of our assessment, 6 people were living at the service.

We assessed the service because the local authority alerted us to concerns.

The last rating for this service was good (published 3 March 2022). Following this assessment, the rating has changed to requires improvement.

We identified breaches of legal regulations relating to person-centred care, dignity and respect, safe care and treatment, safeguarding people from abuse and improper treatment, and good governance. We have asked the provider to tell us when and how they will make the required improvements.

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.

The provider was not meeting all the principles of Right support, right care, right culture. The environment was not always safe. Risks, including unsecured cleaning products, were not monitored or mitigated. The provider took prompt action to rectify these concerns when we identified them. Medicines were not always managed safely. The provider’s systems did not ensure people were safeguarded from abuse or improper treatment.

People were not always engaged in meaningful activities. Staff did not support people to set objectives to plan and try new things. Staff did not always monitor outcomes to ensure care was appropriate or person-centred. Some staff interactions did not respect people’s rights or feelings.

The provider’s systems were not always effective at identify areas of concern or risks. When problems were identified, staff did not always learn from these to help improve the service.

At the time of our assessment, there was no registered manager in post. The provider arranged for a manager from another service to oversee the home. They were working with senior managers to identify where improvements were needed. They had started to address some areas of concern. However, the lack of permanent management at the service meant that improvements were not always sustained or embedded.

Following our feedback to the provider, they sent us evidence to show they were starting to address the concerns we identified.

Updated 30 January 2026

People did not always have a good experience. Staff did not always communicate clearly or well with people.

Not everyone could use words to communicate. We observed how staff supported them. We saw that whilst staff were polite, many interactions were tasked based and did not consider people’s emotions or individual needs. When staff gave people information, this was sometimes contradictory and confusing. Staff sometimes restricted people’s freedom. Staff did not always provide opportunities for people to take part in meaningful activities.

However, some people told us they were happy living at the service. They liked the staff and told us they had good relationships with them. Everyone appeared comfortable and relaxed with staff. People had familiar routines which helped them to feel safe and understand what was happening.

People’s relatives told us they were happy with the service. They liked the staff and were well informed. They told us they were welcome when they visited. Relatives felt people received good quality care. Comments from people’s relatives included, “Pierrepoint Road is just lovely. Staff are kind and caring”, “[Person] is definitely happy there”, “Staff are very friendly and welcoming” and “[Person] sees this as [their] home.”

While the people we spoke with expressed that they were generally happy with their care, our assessment found elements of care did not meet the expected standards.