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What the CQC found at Ulverston Autism Service

Goodpublished 19 September 2025, 12 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, September 2018

Rated Good; inspectors found safe, respectful and personalised care, with some medication incidents needing referral and end-of-life planning still to develop.

Inspectors visited on 31 July 2018 and gave the home 24 hours' notice. They spoke with one resident, staff, managers and a health professional. They observed care and checked records for three residents, as well as management records.

The home supported six adults with autism and complex needs. Inspectors found enough trained staff, suitable recruitment checks, safe medicines arrangements and detailed risk information. People were supported with health needs, activities, choices and contact with others.

Inspectors found that people were treated with respect and that staff understood their individual communication and support needs. The home had effective management and auditing systems. However, two recent medication incidents needed to be referred to the local authority, and the home was asked to develop records of people's end-of-life wishes.

The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection.

What inspectors praised
  • Staffing and training

    There were enough staff, with training and induction suited to the complex needs of the people living in the home.

    “There were sufficient numbers of suitable staff to meet people's needs.” from the report
  • Respect and independence

    Staff supported people's privacy, choices and independence, including time in their own flats and gardens.

    “People were treated with respect and given time to make choices about their lives in the home.” from the report
  • Personalised care

    Care records described people's preferences, family history, abilities and support needs. Staff understood how people communicated and how to avoid causing anxiety.

    “Care records showed that care planning was centred on people's individual views and preferences.” from the report
  • Health support

    The home worked with a range of health and social care professionals and made referrals when people needed further support.

    “We saw from people's records that there was effective working with other health care professionals and support agencies such as local GPs, dentist, community nurses, mental health teams and social services.” from the report
What inspectors were concerned about
  • Recent medication incidents

    needs fixing

    Two recent medication incidents had not yet been referred to the local authority. Inspectors asked the manager to make the referrals so that actions to protect people could be checked.

    “However during the inspection we found two very recent incidents relating to the management of medications that we asked the registered manager to refer to the local authority.” from the report
  • End-of-life preferences

    needs fixing

    Inspectors discussed developing care plans so they recorded people's treatment wishes, preferred care and who they wanted involved at the end of life.

    “We discussed with the registered and service managers the future development of care planning to identify people's treatment wishes about what their end of life preferences might be.” from the report
Questions to ask them, based on this report
  1. 01What happened with the two recent medication incidents, and were they referred to the local authority?
  2. 02What changes were made after those medication incidents to reduce the risk of a repeat?
  3. 03How are each person's end-of-life wishes and treatment preferences now recorded and reviewed?
  4. 04How will you involve residents, relatives or advocates in decisions about end-of-life care?
  5. 05How do you make sure staffing levels remain flexible when residents go out or need different levels of support?

This was a full inspection covering all five key questions; inspectors observed care, spoke with people and staff, and reviewed three care records and management records. This explanation was written from the published report of 11 September 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Ulverston Autism Service

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. September 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ulverston Autism Service →

  2. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2010

    Registered with the Care Quality Commission on 15 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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