# Include 'In' Autism

*Operated by Include 'In' Autism community interest company.*

Include 'In' Autism is a CQC-regulated home-care agency in Sunderland.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 26/01/2026

## Practical info

- Postcode: SR1 2BP
- Registered manager: Jevon, Aimee
- Local authority: Sunderland
- Region: North East
- City: Sunderland
- Last CQC check: 26/Jan/2026 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-03-24
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-03-24

### Other

- Finding
  - Evidence: The provider conducted regular competency spot checks, ensuring staff remained at the required standard.
  - Published: 2022-12-09
- Finding
  - Evidence: The service embraced the Accessible Information Standard with a range of formats available to support people to share their views.
  - Published: 2022-12-09
- Finding
  - Evidence: The registered manager was passionate about supporting children with Autism and had won two national awards for work within the autistic and learning disability community.
  - Published: 2022-12-09
- Finding
  - Evidence: The service worked in partnership with external healthcare professionals, demonstrating good knowledge around people's needs.
  - Published: 2022-12-09
- Finding
  - Evidence: The registered manager liaised with the local authority and undertook appropriate investigations when allegations occurred.
  - Published: 2022-12-09
- Finding
  - Evidence: Staff supported people to take part in activities and pursue their interests in their local area.
  - Published: 2022-12-09
- **governance** _(moderate)_
  - Evidence: Systems to monitor and assess the quality of the service were not always effective. Quality assurance systems had not identified the failure within the recruitment process.
  - Published: 2022-12-09
- **staff_competency** _(critical)_
  - Evidence: DBS certificates linked to the DBS Updating Service were not reviewed by the service prior to applicants starting work.
  - Published: 2022-12-09
- **staffing_levels** _(moderate)_
  - Evidence: People were not always supported by a regular staff team. One relative told us, "At times we don't know who is turning up, sometimes agency staff who we don't know"
  - Published: 2022-12-09
- Finding
  - Evidence: Additional methods of communication with families introduced
  - Published: 2022-03-24
- Finding
  - Evidence: New system introduced for monitoring documentation to ensure it was up to date and accurate
  - Published: 2022-03-24
- Finding
  - Evidence: Provider designed a range of tools to capture children's voices
  - Published: 2022-03-24
- Finding
  - Evidence: New COVID-19 risk assessment for staff at greater risk introduced and used to deploy staff safely
  - Published: 2022-03-24
- Finding
  - Evidence: Individual and person-specific COVID-19 risk assessments created to support people with face masks
  - Published: 2022-03-24
- **person_centred_care** _(moderate)_
  - Evidence: provider failed to seek feedback from children about their care and support, and how the service was run
  - Published: 2022-03-24
- **record_keeping** _(critical)_
  - Evidence: provider failed to maintain accurate, complete and contemporaneous records and have effective systems to assess, monitor and improve the quality and safety
  - Published: 2022-03-24
- **incident_learning** _(moderate)_
  - Evidence: these need to be sustained and further developments were still needed. The requirements of the warning notice have been partially met.
  - Published: 2022-03-24
- **governance** _(critical)_
  - Evidence: medicine audits were not routinely completed and discrepancies we found in recruitment files had not been identified
  - Published: 2022-03-24

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-03-24
- Finding
  - Meeting people's communication needs
  - Published: 2022-03-24
- Finding
  - Planning personalised care to meet people's needs, preferences, interests and give them choice and control
  - Published: 2022-03-24

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-03-24
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-03-24

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff, fully considering their equality characteristics
  - Published: 2022-03-24
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-03-24
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-03-24
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-03-24
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-03-24

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-6509513703

HomeCare Compass is an independent guide and is not affiliated with the CQC.