Crimson Hill Support provides personal care and support to individuals with a learning disability and mental health conditions in their own homes. It specialises in supporting people with complex needs and behaviours that may challenge services. At the time of this assessment, 13 people were being supported. At the inspection in November 2022, the provider was found in breach of 2 regulations related to inappropriate use of restraint and ineffective governance. At this assessment we found the necessary improvements had been made, and the provider was no longer in breach. This assessment began on 12 September 2025 and concluded on 7 October 2025. We visited the provider’s office on 25 September 2025. We assessed this service using the principles of Right Support, Right Care, Right Culture, which guide our approach to inspecting services for autistic people and people with a learning disability. The service was designed to promote independence, choice, and inclusion. Care was person-centred and focused on supporting people to live meaningful lives in their community. Safety had improved. Restraint was used appropriately and as a last resort. Staff were trained to identify and report abuse, and risks were well managed. A strong learning culture was evident. Staff were well-trained, responsive, and worked with other professionals to ensure effective care. Relationships between staff, people, and relatives were strong. Relatives praised staff for their kindness and attentiveness. People were supported to make decisions and maintain their independence. Care plans were detailed, regularly reviewed, and developed with people and their families. Feedback was taken seriously and acted upon. Governance and quality assurance processes had improved, ensuring accountability and safety. The management team was skilled, open, and responsive. Staff felt valued, listened to and morale was good. The provider promoted diversity and maintained an inclusive culture.
PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-2209806046.
Crimson Hill Support was rated Requires Improvement overall following an unannounced inspection in September 2022, driven by regulatory breaches in safeguarding (Regulation 13) and governance (Regulation 17) related to inappropriate use of restraint and ineffective quality monitoring systems. Strengths included safe medicines management, good infection control, positive staff culture, and strong partnership working with external professionals.
Concerns (6)
criticalSafeguarding: “Incident forms recorded staff had on occasions used unplanned and inappropriate restraint for one person. This was a breach of regulation 13 (Safeguarding service users from abuse and improper treatment)”
criticalCare planning: “Plans were not always detailed, up to date or reviewed regularly. Plans referred to 'high' and 'low' level restraint holds without any details of what holds staff should use and when.”
criticalGovernance: “The provider had failed to ensure the governance systems fully effective in identify shortfalls and addressing them. Regulation 17 (1) (2) (a)”
moderateIncident learning: “Incidents of restraint were not always reviewed in a timely manner to ensure any immediate actions were taken.”
moderateStaffing levels: “There were some staff vacancies within the service. These were covered by staff picking up additional hours and regular agency staff.”
minorRecord keeping: “We identified two policies that needed reviewing to ensure they were up to date and reflected current practice and legislation.”
Strengths
· Staff were aware of signs of abuse and how to report concerns through appropriate channels, with effective working with other agencies.
· Medicines were managed safely, supporting people's independence and achieving good health outcomes.
· Good infection control practices with adequate PPE access and staff training.
· Positive feedback from professionals regarding leadership, responsiveness and communication.
· People and relatives expressed high satisfaction with care staff and felt their loved ones were safe.
Quality-Statement breakdown (11)
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Learning lessons when things go wrongRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersRequires improvement