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Care Opportunities Supported Living Outstanding

Inspection Summary

Overall summary & rating


Updated 1 March 2017

This inspection was announced and took place on the 14, 16 and 20 December 2016.

Care Opportunities Supported Living provides care and support for individuals with learning and physical disabilities living in their own homes. At the time of the inspection the service was supporting 12 people.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff and the management team had an excellent understanding of managing risks and were supporting people to reach their full potential. Staff and the management also helped people to overcome difficulties resulting from people’s past experience and anxieties. People felt safe in the service and staff had a very clear understanding of their responsibilities in relation to abuse. The provider's whistleblowing policy protected staff to make disclosures about poor staff conduct or practice, and staff confirmed the manager would take responsive action if they reported such problems.

People had their medicines managed safely, and received their medicines in a way they chose and as prescribed.

The provider had effective recruitment and selection procedures in place and carried out relevant checks when they employed staff to help ensure staff were suitable to work with vulnerable people.

People’s rights were recognised, respected and promoted. Staff had a good understanding of the Mental Capacity Act 2005 and we saw people’s consent was sought routinely. Staff were knowledgeable about the rights of people to make their own choices. This was reflected in the way the care plans were written and the way in which staff supported and encouraged people to make decisions when delivering care and support.

The provider and the registered manager were highly committed to encouraging staff to participate in training to develop their skills. Staff were provided with a range of training opportunities. The registered manager used creative, proactive and innovative ways of enhancing the skills of staff. This enabled staff to apply their learning in their practice. Knowledge tests were created with respect to people’s support needs and used to consistently check the staff members’ knowledge. This helped to ensure staff delivered, personalised, quality care.

Staff told us they felt supported by the management and received supervision and appraisals, which helped to identify their training and development needs.

People's health and well-being needs were monitored. The registered manager and staff responded promptly to any concerns in relation to people's health and were knowledgeable about people's medical history. Staff always accompanied people to hospital appointments and visited them in hospital. People were supported to maintain a healthy, active lifestyle. Clear, easy-to-read plans were designed to help people manage health conditions that needed monitoring. Health and social care professionals were involved in people's support when needed and their advice was included in the care provided. Staff worked together with community professionals to prepare people for health care checks.

The interactions we observed between people and staff were positive. We heard and saw people laughing and smiling. People looked comfortable, relaxed and happy in their home and in the company of other people they lived with.

The difference the service was making to people's lives was apparent. Some of the people had previously displayed anxious behaviour or had been emotionally disturbed which had led to restrictive lifestyles. However, the service now supported them in a more positive way. People needed consistent support to make them feel secure and understood, to manage their behaviours an

Inspection areas



Updated 1 March 2017

The service was safe.

Staff were confident in recognising safeguarding concerns and potential abuse and were aware of their responsibilities to protect people.

People were supported to take positive risks and to try out different experiences in the least restrictive way possible whilst being protected from avoidable harm.

Medicines were administered safely.



Updated 1 March 2017

The service was outstanding in ensuring people received effective care and support.

Staff knew people’s specific needs as innovative testing methods were used to ensure training was relevant and understood to the highest degree.

Staff received regular supervision and an annual appraisal which identified on-going training needs and development.

Staff understood and recognised people’s changing health needs and sought healthcare advice and support for people whenever required.

Staff understood the requirements of the Mental Capacity Act 2005 (MCA) and how this applied to their daily work.



Updated 1 March 2017

The service was caring.

We saw that people were comfortable in the presence of staff and had developed caring relationships. People and relatives were very positive about the staff and said they were treated with kindness and respect.

People had the support they needed to help them make decisions and have a good quality lifestyle.

Staff promoted people's independence and encouraged them to do as much for themselves as possible.



Updated 1 March 2017

The responsiveness of the service was outstanding.

People received individualised and personalised care which had been discussed and planned with them. Staff had a thorough understanding of how people wanted to be supported.

Staff instilled confidence and trust in people so they were able to participate in certain types of activities for the first time and were able to try new experiences and have more freedom.

People’s views and opinions were sought and listened to. Appropriate communication methods were used to ensure people could express their wishes.

People using the service and their relatives knew how to raise a concern or make a complaint. There was a complaints system in place in suitable formats.



Updated 1 March 2017

The service was well-led.

People and their families told us they thought the service was very well led.

There was an open and transparent culture and the manager and staff welcomed the views of people and their families.

There were systems in place to monitor the quality of the service provided and to promote best practice.