The Care Quality Commission
  • Care Home
  • Care home

Archived: 23 Pierrepoint Road

Overall: Requires improvement read more about inspection ratings

23 Pierrepoint Road, London, W3 9JJ (020) 8896 2581

Provided and run by:
Achieve Together Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

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.

12 January 2022

During a routine inspection

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

23 Pierrepoint Road is a residential care home providing care and support for up to 11 people who have a learning disability and may also have other health conditions, autism, mental health needs or physical disabilities. At the time of our inspection eight people were living at the service. 23 Pierrepoint Road is located in a residential area, similar in appearance to the other houses in the street. People had their own rooms and shared communal rooms such as the kitchen and lounge.

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

During the inspection we found checks had been completed to help ensure people remained safe in the home. However, a potentially harmful cleaning product was not securely stored in one of the toilets.

People had COVID-19 risk assessments and care plans which identified measures to help keep people safe. Safe recruitment procedures were followed and there were enough staff to meet people's needs. Staff were supported to develop their skills and provide appropriate care through inductions, supervisions, appraisals, training and team meetings.

Right Support

The service supported people to have the maximum possible choice, control and independence and they had control over their own lives. People had a choice about their living environment and were able to personalise their rooms. Staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests. Staff enabled people to access specialist health and social care support in the community.

Right care

Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them.

Right culture

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. People and those important to them, including advocates, were involved in planning their care. The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 1 December 2020 under a new provider and this is their first inspection.

The last rating for the service under the previous provider was good published in December 2020.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

This was a planned inspection based on the date of registration.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

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.