“Exceptional” learning disability services at HPFT rated outstanding by CQC

26 Mar 26

Hertfordshire Partnership University NHS Foundation Trust’s (HPFT) learning disability and autism inpatient services have achieved an Outstanding rating across every domain, including safety, following a Care Quality Commission inspection, marking a fantastic achievement for services supporting some of the most vulnerable people in our communities.

A group of NHS staff standing together indoors holding large letters spelling “OUTSTANDING”, with a Care Quality Commission Outstanding rating sign displayed at the front.
Astley Court Team

Inspectors described the care as “exceptional”, recognising services that consistently deliver outstanding, person‑centred care, led by passionate staff and strong, values‑driven leadership. People were seen to be treated with dignity, respect and compassion, with care tailored carefully to individual preferences, communication needs and goals for independence.

A group of NHS staff standing outside a care building holding large letters spelling “OUTSTANDING”, with a Care Quality Commission Outstanding rating sign displayed at the front.
Lexden Hospital Team

Being rated Outstanding across all domains places HPFT’s learning disability and autism inpatient wards as one of the very highest‑performing services inspected by the CQC. It reflects not only the quality of care provided on the wards, but a clear and deliberate approach to supporting people to recover, regain independence and return to living well in their communities wherever possible.

A group of NHS staff standing outdoors holding large letters spelling “OUTSTANDING”, with a Care Quality Commission Outstanding rating sign displayed at the end.
Elm Ward team

Karen Taylor, Chief Executive of Hertfordshire Partnership University NHS Foundation Trust, said: “This is an outstanding result in every sense. To be rated Outstanding in all areas is rare, and it speaks volumes about the skill, compassion and commitment of our staff. The care we provide is making a real and lasting difference for people and their families.”

The voices of people using the service and their families were central to the inspection findings. One family described the service as “a ray of sunshine in the dark” and many spoke about how they felt supported and listened to. A service user told inspectors: “Even at my lowest times they have cared for me and made me laugh. They have been so lovely.”

Inspectors highlighted a strong learning and improvement culture, with open reporting, transparency and a clear commitment to reducing restrictive practice. Staff are supported emotionally following incidents, and there is a clear duty of candour with people and families, helping to build trust and strong relationships. The Inspectors also recognised the strong partnership working between the ward teams and community intensive support teams which helps prevent unnecessary admissions and supports people to move back into the community as soon as it is right for them. This reflects a clear shift towards enabling people with learning disabilities and autism to live fulfilling, meaningful lives beyond hospital settings.

The service was assessed against the national Right support, right care, right culture guidance. Inspectors concluded that all principles were fully met, with services promoting equality, dignity, respect and access to community life.

HPFT provides specialist inpatient learning disability and autism care across three sites:
• Lexden Hospital in Essex, with six beds for men and women
• Astley Court at Little Plumstead Hospital in Norfolk, with eight beds for men and women
• Elm Ward at the Kingsley Green site in Hertfordshire, with eight beds for men and women

A link to the report can be found here.

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“Exceptional” learning disability services at HPFT rated outstanding by CQC