Hertfordshire Partnership NHS Trust Earns Outstanding Rating for Specialist Community Support

Community mental health services for autistic people and adults with learning disabilities run by Hertfordshire Partnership University NHS Foundation Trust (HPFT) have been upgraded from good to outstanding following a Care Quality Commission (CQC) inspection in August.

The services provide specialist healthcare for adults across Hertfordshire, Buckinghamshire, Essex and Norfolk whose needs cannot be met by mainstream services alone. Teams operate from 16 locations, including intensive support services for people with severe and complex needs who may be experiencing a crisis.

These teams provide rapid assessments and targeted interventions to help people remain in their communities and avoid unnecessary hospital admissions.

CQC carried out the inspection using its Right Support, Right Care, Right Culture guidance, which focuses on ensuring people with learning disabilities and autistic people receive care that respects their dignity, equality, independence, choice and access to local communities.

The trust’s overall rating remains outstanding.

Inspectors found that staff understood people’s individual needs and worked closely with families and carers to develop comprehensive, personalised care plans. Easy-read documents were used to help people understand and participate in decisions about their support.

CQC also highlighted the service’s approach to helping people who were not eligible for its support, with staff providing guidance on alternative sources of assistance.

Family members gave positive feedback about staff involvement, particularly during periods of crisis. Inspectors heard how people were supported to develop techniques for managing distress and anxiety, while multidisciplinary teams involving nursing, psychology and psychiatry worked together to address complex needs.

One example involved a person who had previously struggled to tolerate blood tests but was receiving coordinated support to help them manage the process.

CQC found that staff maintained up-to-date training on the Mental Health Act and its Code of Practice. They supported people to make their own decisions where they had the capacity to do so and made best-interest decisions when they did not.

Staff also developed positive behaviour plans to help families and paid carers recognise early signs of distress and respond appropriately.

Inspectors highlighted the inclusion of menopause-related considerations in risk assessments for women, recognising that hormonal changes could affect their presentation, behaviour and associated risks.

The service was also found to encourage people to share feedback and raise concerns. Serious incidents were reported in line with trust policy, with managers monitoring events to identify risks and ensure lessons were learned.

CQC deputy director of mental health for the East of England, Victoria Green, said the inspection identified a positive culture shaped by staff and leaders who understood people’s needs and advocated for appropriate support. She also highlighted strong teamwork, family involvement and staff commitment.

The trust’s Inspire Awards, which recognise employees demonstrating its values and going beyond expectations in their work, were also noted by inspectors. Staff reported high morale and pride in working for the organisation.

The outstanding rating reflects CQC’s findings on personalised support, multidisciplinary working, staff development and the service’s approach to keeping people safe.

Stay informed with the stories shaping health and social care.

Register with The Daily Round for the latest sector news, inspections & reports, wellbeing content, workforce insights, expert features and practical updates—delivered free to your inbox.