Little Arches

“Who the service is for”

“The service supports people with learning disabilities and autistic people. People had their individual, personalised rooms, and there was a shared kitchen, lounge and dining area. This helped create a familiar home environment where people were supported in a more personal and flexible way.”

“Key findings”

“We carried out this assessment between 4 August and 2 September 2026. We visited the service on 4 August and 17 August 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.”

“We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities most people take for granted. We found the provider was meeting the principles of ‘Right support, right care, right culture.’ People were supported to express their views in various ways, members of staff respected people’s choices, and they encouraged and supported people to lead as fulfilled a life as possible.”

“The provider had processes in place to record, review and analyse accidents and incidents to identify lessons learned. People told us they felt safe living in Little Arches. There were policies and procedures in place to keep people safe and to report concerns. A member of staff told us, “If I suspected abuse, I would report it to my manager. If it involved my manager, I would report to the local authority safeguarding team and CQC. We also have information around the home about abuse and who to contact.” People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found members of staff and leaders worked in line with the MCA. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives. Risks associated with people’s care needs were assessed and mitigated. We provided feedback to the registered manager about the inclusion of behaviour-specific risk assessments and care plans. Action was taken which mitigated any on-going risk. The care environment was clean and well-maintained. We did, however, identify some areas for improvement linked to processes for recording environment checks to ensure the service was safe. We discussed this with the registered manager, and they took immediate and appropriate action which mitigated risk. There were sufficient members of staff on duty to meet people’s needs and provide effective care and support. Members of staff were recruited safely. People who lived in the care home took an active role in the recruitment process and made recommendations and decisions about the appointment of new members of staff. Medicines were managed safely and people received their medications as prescribed.”

“People’s care needs were assessed appropriately and reviewed regularly which ensured care and support was provided effectively. We saw evidence people were involved in meal planning, shopping and food preparation. People received nutritious meals in accordance with their personal preferences. There was regular access to local…”