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We carried out an assessment of Coquet Trust’s outreach service between 9 October 2025 and 7 November 2025. We had telephone conversations with people and relatives on 13 October 2025 and then reviewed information remotely. The inspection was carried out to check the provider was meeting the needs of people with a learning disability and autistic people, in line with the principles of Right support, right care, right culture. Coquet Trust provides outreach support and supported living services for adults with complex needs, including profound and mild learning disabilities, autism, and physical health conditions. People receiving outreach support lived in their own homes with tailored support arrangements. The service was exceptionally well-led. Leadership was open, inclusive, and committed to continuous improvement. Senior managers promoted a learning culture, with robust governance systems and regular audits covering safety, medication, and quality of life. Initiatives such as Positive Behaviour Support (PBS) and Person Centred Active Support (PCAS) were embedded and used to improve people’s wellbeing and safety. Robust quality assurance was used to identify areas for improvement and learn lessons. The provider was investing in new technology and innovation. Although relatives commented there had been frequent staff changes and the use of agency staff, there were enough staff available to meet people’s needs. New staff were recruited safely. Support plans included detailed risk assessments, health action plans, and positive behaviour support strategies to promote independence, safety, and wellbeing. The service prioritised safety through robust care planning and risk management. Medicines were managed safely. Care plans and health action plans were comprehensive and regularly reviewed. Staff completed the training they needed, including for those people with more complex health needs. People were supported to have enough to eat and drink in line with their needs and preferences.
npm run etl:reports -- --location 1-135944366.We carried out an assessment of Coquet Trust’s Independent Supported Living (ISL) service between 4 November and 12 December 2025. We visited some of the provider’s ISL services on 4 November 2025 and then reviewed information remotely. The inspection was carried out to check the provider was meeting the needs of people with a learning disability and autistic people, in line with the principles of Right support, right care, right culture. Coquet Trust provides supported living services for adults with complex needs, including profound and mild learning disabilities, autism, and physical health conditions. People live in shared homes with tailored support arrangements. The service was exceptionally well-led. Leadership was described as open, inclusive, and committed to continuous improvement. Senior managers promoted a learning culture, with robust governance systems and regular audits covering safety, medication, and quality of life. Initiatives such as Positive Behaviour Support (PBS) and Person Centred Active Support (PCAS) were embedded and used to improve people’s wellbeing and safety. Robust quality assurance was used to identify areas for improvement and learn lessons. Although some relatives told us about frequent staff changes, there were enough staff available to meet people’s needs. New staff were recruited safely. Support plans included detailed risk assessments, health action plans, and positive behaviour support strategies to promote independence, safety, and wellbeing. The service prioritised safety through robust care planning and risk management. Medicines were managed safely. Care plans and health action plans were comprehensive and regularly reviewed. Staff completed the training they needed, including for those people with more complex health needs. People were supported to have enough to eat and drink in line with their needs and preferences.
npm run etl:reports -- --location 1-135944366.Date of assessment 1 November to 5 December 2024. We looked at 7 quality statements covering safeguarding, involving people to manage risk, safe and effective staffing, medicines optimisation, assessing needs, consent to care and treatment, independence choice and control, equity in experience and outcomes and governance, management and sustainability. The service provided supported living for people living with a learning disability and autistic people. Right Support: The provider was meeting the requirements of the Mental Capacity Act (MCA). Best interest decisions were completed where people lacked capacity to consent. People’s wishes were considered as part of positive risk-taking assessments. People’s needs had been assessed and their wishes and preferences considered when developing care plans. People were supported to review their care and support to help ensure it met their needs. Right Care: Positive behavior support (PBS) plans identified proactive and reactive strategies for staff to use to help prevent people from becoming distressed and support them sensitively if they became agitated. People received their medicines appropriately from competent staff. New staff were recruited safely. Staff understood the importance of person-centred care and could describe how this applied to the people they cared for. Right Culture: Staff gave positive feedback and felt the service was safe. The provider had effective systems to log and investigate allegations of abuse, where required. Staff had a good understanding of safeguarding and were confident to raise concerns. They also said they felt listened to. The provider had effective governance systems which were successful in identifying and acting on issues. Audits and checks were carried out as expected and action plans developed to improve people’s care. Incidents, accidents and safeguarding concerns were analysed and used to learn lessons.
npm run etl:reports -- --location 1-135944366.Date of assessment 25 September to 31 October 2024. The provider had good systems to deal with safeguarding concerns, if needed. Previous concerns had been investigated to help keep people safe. Staff had completed safeguarding training and told us they were confident to raise concerns. The provider followed the requirements of the Mental Capacity Act 2005 (MCA). Potential risks had been identified and assessed. The provider operated a positive risk-taking approach which incorporated people’s views about keeping safe. Detailed positive behaviour support plans (PBS) had been developed to help promote effective strategies to prevent people from becoming distressed. There were sufficient knowledgeable staff available to meet people’s needs. New staff were recruited safely. People received their medicines when they were due, from competent staff. People’s needs had been assessed. Their views and preferences were integral to determining the care people wanted and needed. Staff understood the importance of person-centred care and described how they achieved this when supporting people. There were effective governance systems to help the provider act on issues and learn lessons. Regular checks and audits were carried out to improve the quality of people’s care and learn lessons. Incidents, accidents and safeguarding concerns were analysed regularly to ensure appropriate action had been taken.
npm run etl:reports -- --location 1-135944366.Coquet Trust improved from Requires Improvement to Good across all three inspected key questions (Safe, Effective, Well-Led), having resolved previous breaches of Regulations 17 and 18 relating to governance and staffing support. The service demonstrated strong person-centred practice, safe medicines management, robust quality assurance, and effective partnership working in supporting autistic people and those with learning disabilities or mental health needs.
npm run etl:reports -- --location 1-135944366.npm run etl:reports -- --location 1-135944366.npm run etl:reports -- --location 1-135944366.