Your Compliance Partner for Learning Disabilities, Autism & Complex Care
Helping learning disability, autism and complex care providers achieve outstanding compliance — so the people you support can live truly fulfilling lives.
Compliance in Complex Care Is Different
Compliance in learning disabilities, autism, and complex care isn't just about governance, paperwork, and ticking boxes. It's also about observing real interactions, assessing truly individualised support, and understanding whether every person in your care is actively supported to live the life they deserve - across every shift, every day.
That's what we audit. And that's what we help you to get right.
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Aligned with CQC's Single Assessment Framework
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Specialists in Learning Disability & Autism
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Supported Living, Residential Care, Home-Based Support
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Nationwide Coverage
How We Can Help You
Mock Inspections
Regular mock inspections are essential for any provider serious about compliance - they stress-test your governance, identify gaps before CQC does, and give your team the confidence that comes from genuine preparation.
But in complex care, inspection readiness means something more. It's not enough to have the right paperwork in place.
Our mock inspections go beyond the audit trail to assess what compliance actually looks like on the ground: whether your service helps people manage their budget, prepare for a job interview, go nightclubbing, or board a plane for the first time.
That's what outstanding looks like in this sector - and that's what we're here to help you achieve.
We understand that for many of the people you support, an unfamiliar face can be unsettling - our consultants are experienced in working sensitively within complex care environments, causing minimal disruption to the people who live and work there.
Turnaround Support
When a service is under pressure, it can feel overwhelming. Our turnaround specialists work alongside you — providing rapid, hands-on support to stabilise operations, rebuild confidence and set a clear path back to the standard your residents deserve.
Managed Assets
Running a complex care service is demanding. When you need experienced oversight in place - whether temporarily or long-term - we step in as a trusted partner, not just a consultant. We protect your service, support your people and keep quality at the centre of everything.
Implementation Planning
A mock inspection is only as valuable as what happens next. We work alongside your team to translate findings into a clear, practical implementation plan — turning compliance requirements into living, evolving practice that improves real lives.
Follow-Up & Review Support
Complex care compliance isn't a one-off event. Our quarterly review sessions help you sustain progress, identify emerging gaps early and demonstrate the continuous improvement that characterises an Outstanding service.
Compliance Packages
Flexible monthly support packages combining mock inspections, compliance coaching and follow-up reviews - designed around the complexity of your service and the ambitions of the people you support.
Why You Should Work With Us
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Expert consultants with hands-on experience in learning disability, autism and complex care compliance - including Positive Behaviour Support, restrictive practice reduction and communication-led approaches.
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People-led practice at the heart of everything - because compliance in complex care isn't a checklist, it's a way of working.
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All mock inspections are fully aligned with CQC's Single Assessment Framework - delivered nationwide across England.
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Support tailored to your service - whether you're preparing for a CQC inspection or strengthening everyday practice.
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Focused on what great really looks like: bespoke lives, fulfilled potential and proactive support across every shift.
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Supporting providers across supported living, residential care and home-based settings.
Ready to Strengthen Your Compliance?
Whether you're preparing for an inspection, recovering from a difficult rating, or simply want to offer the best possible standards you can, we can help.
Call Us On: 0203 411 4014
Email: info@fulcrum.care
Or complete the form below, and we'll be in touch.