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Date of Assessment: 15 January to 10 February 2025. The service is a care at home (supported living) service providing support to adults of all ages) living with a learning disability and/or autism. At the time of our inspection there were over 200 people using the service who lived across a large geographical area in the Northwest of England. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Many of the people who received support lived in 'supported living' settings. People held an individual tenancy for their own property or lived in shared accommodation where they held a tenancy for their bedroom; and shared communal areas such as lounges and kitchens. Each 'supported living' service had designated space for staff to store their belongings, maintain records and when needed, provide sleeping in support. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. This provider was able to demonstrate how they were meeting the underpinning principles of ‘Right support, right care, right culture’. People using the service were at the heart of their own care and support. There was a strong person-centred culture, people were empowered to make choices and decisions regarding every aspect of their lives. A positive ‘can do’ and person-centred approach was taken to the management of risks. People were not simply told they could not do something because it was too risky, genuine consideration was given to people’s aspirations, freedom and choice. Staff went above and beyond to ‘make it happen’ for people. People consistently achieved outcomes that went beyond expectations, such as maintaining an independent life of their choosing and carrying out activities and roles within the community previously thought of as not possible to achieve. People had tailored support plans which focused on their individual needs, preferences, goals and the promotion of their independence. Evidence-based practice was embedded throughout, supported by electronic systems and multidisciplinary collaboration. Staff responded promptly and adapted to changes in people’s care and support, ensuring people’s preferences and needs were met. The provider worked alongside external health and social care professionals to ensure people had access to the care and support they required as and when they needed it. People were supported by core staff teams who knew their needs well. Staff were skilled in Positive Behaviour Support (PBS). The service exceled in treating people with utmost dignity, compassion, and respect. Staff were both committed and passionate in making people feel valued and empowered. Care was highly personalised and promoted independence and emotional wellbeing. Staff were recruited safely, trained and competent for their role. Staff rotas and numbers were adapted as and when necessary to meet the specific needs of people, so there were no restrictions as to when people chose to partake in activities. Both leaders and staff worked collaboratively in ensuring a sense of equality and inclusion across the service. Leaders created and fostered a culture of transparency, and a dedication to continuous improvement. Governance systems were robust and quality improvement plans were utilised to maintain high standards. The provider was not afraid to challenge negative perceptions of care through active community engagement and educational initiatives. The provider was a strong ambassador and champion for the right that people, despite their perceived limitations, should be able to live an independent life of their choosing.
npm run etl:reports -- --location 1-3679714454.Outreach Services, a domiciliary care provider supporting 224 autistic people and people with a learning disability, was rated Good across all five key questions at its July 2023 inspection. The service demonstrated strong person-centred care, safe medicines management, robust governance, and a committed staff team, with no evidence found to substantiate prior concerns about poor care or management inaction.
npm run etl:reports -- --location 1-3679714454.