Following a visit that took place across April and May, inspectors described EHC plans as "weak" and found they contain inaccurate information that is "not fit for purpose".
The lack of accuracy in EHC plans is a particular concern for local head teachers who told Ofsted it meant they did not know if they would be able to meet a pupil's needs when they joined their school.
In addition, inspectors found very little evidence of social care support in the plans, which have replaced statements of special need.
"The quality of the education, health and care (EHC) plans is weak," states Ofsted and health watchdog the Care Quality Commission (CQC) in a letter to Leicester City Council and the city's clinical commissioning group.
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