The Care Quality Commission (CQC) has rated Tottle Brook House in Nottingham as outstanding following its first inspection in November 2025.
Tottle Brook House, run by Elysium Healthcare No.4 Limited, is a purpose-built service, with people living in their own flatlets on site. The service is registered to provide accommodation with personal care for a maximum of five people.
CQC carried out the inspection in line with its ‘right support, right care, right culture’ guidance, which assesses whether a service guarantees autistic people and people with a learning disability the respect, equality, dignity, choice, independence and access to local communities that most people take for granted.
CQC has rated Tottle Brook House as outstanding for being caring and responsive. Safe, effective and well-led were rated as good.
Greg Rielly, CQC’s deputy director of adult social care for the East Midlands, said:
“When we inspected Tottle Brook House, we found an exceptional service with a clear ethos which empowered people to be independent and have control over their own lives. This resulted in outcomes for people which truly reflected the principles and values of right support, right care, right culture.
“It was wonderful to see how staff valued people as individuals, treating them with kindness and compassion. The service’s ethos included celebrating people’s skills and acknowledging their achievements, which was clear in their care plans.
“Staff knew people well and showed a genuine interest in people’s lives, engaging them in meaningful conversations and supporting them to do the things they enjoyed, such as walking and cooking their favourite meals. One person wanted to become more independent in getting out in the community and doing their own shopping. We saw staff had put a plan in place for this that had detailed goals for the person to achieve it.
“In addition to this, staff also fully understood people’s anxieties, triggers and distresses and had personalised strategies in place to anticipate and prevent issues before they arose. For example, one person had a fear of abandonment caused by their life history. Staff were mindful of this and had built up a positive, trusting relationship with them.
“People were fully involved as partners in their care planning and told us they felt listened to and valued. They were supported by staff to create meaningful, person-centred support plans tailored to their needs and which reflected their sensory, cognitive and functioning needs.
“Overall, leaders and staff should be incredibly proud of the care they provide at Tottle Brook House and the positive outcomes this has on the people they look after.”
Inspectors found:
Staff provided support at a pace which suited people’s needs. People told us they didn’t feel pressured to hurry.Staff made sure people’s communication needs were met and information was shared with them in a way they could understand.The registered manager was motivated to innovate and use new ideas and initiatives to maintain excellent care for people.Staff provided care and support in an environment that was safe, clean, well-equipped, well-furnished and well-maintained, and which met people’s sensory and physical needs.Staff assessed people’s risks regularly and managed them safely. People were involved in managing their own risks whenever possible and supported to understand and reflect on risk-taking behaviours.Staff had a reporting system in place if restrictive practices were used, and there were comprehensive reviews to try and reduce the use of these practices.Staff had built up a positive relationship with external healthcare partners to ensure people were fully supported.