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Inspection summaries and ratings from previous provider

Overall summary & rating


Updated 16 August 2019

About the service

Tuscany House is a residential home which provides care and support to up to six people living with autism and complex communication needs. At the time of inspection there were 5 people living at Tuscany House.

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. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. Staff at Tuscany House were exceptionally skilled and motivated in ensuring these principles were fully embedded at the heart of the service.

There was a distinct will amongst the staff team for people to be living the life they wanted. When speaking about people staff were animated and repeatedly spoke about people’s achievements and goals. Staff demonstrated a clear and in-depth understanding of each individual’s communication needs, routines and personalities. People appeared relaxed in the company of staff and relatives described staff as caring, committed and approachable.

Staff supported people in a proactive and positive manner to find ways of managing their anxieties in order to maximise their opportunities. Through detailed planning and organisation, staff supported people to take risks and achieve things which had previously been seen as unattainable. Relatives felt that people’s lives had improved and been enriched by living at Tuscany House.

The provider ensured staff had the training and resources to support people effectively. The service worked with colleagues from the training and positive behaviour support teams to develop and enhance their skills for the direct benefit of the people they supported. Staff felt incredibly supported in their roles and understood the need for cohesive team work. This was extended to include families, professionals and others central to people’s lives.

People had access to a wide range of activities which were personalised to their own interests and skills. This included a wide range of social activities, college and work experience. Staff worked closely with a range of healthcare professionals to ensure people received their health care in a way which caused them minimum distress and anxiety.

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.

There was extremely strong leadership which focussed on ensuring people received highly personalised care which maximised opportunities. Staff told us they felt listened to and cared for which enabled them to work well as a team and maintain their positive approach.

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 (31 October 2016) insert date last report published in brackets.

Why we inspected

This was a planned inspection based on the previous rati

Inspection areas



Updated 16 August 2019

The service was exceptionally safe.

Details are in our safe findings below.



Updated 16 August 2019

The service was effective.

Details are in our effective findings below.



Updated 16 August 2019

The service was caring.

Details are in our caring findings below.



Updated 16 August 2019

The service was exceptionally responsive.

Details are in our responsive findings below.



Updated 16 August 2019

The service was exceptionally well-led.

Details are in our well-Led findings below.