Updated 11 May 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people
respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Nottingham Supported Living (DCA) supports people to live in the community. At the time of the inspection 26 people were receiving support. The support varied from a few hours to 24 hours a day. People either lived alone in their tenancy or lived in supported living accommodation in and around Nottinghamshire. 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.
People’s experience of using this service and what we found
Right Support
Staff supported people to have maximum possible choice, control and independence. Staff encouraged people to have control over their lives. People were supported by staff to pursue their hobbies and interests. People had their aspirations and goals documented in their care plans and staff encouraged and supported them to achieve the goals.
People had tailored Positive Behaviour Support Plans (PBSP) in place. PBSP provided the carers with a step-by-step guide to making sure the people had a good quality of life and identify when they need to intervene to prevent or reduce the likelihood of an episode of distressed behaviour. The staff had training and support in place to help them understand and support people when they were distressed. Staff followed best practice and guidance to avoid the use of unnecessary restraint.
People had a choice about their living environment and were able to personalise their homes. Staff
supported people to take part in activities and pursue their interests in their local area. Staff supported people to make decisions based on their own abilities. Staff communicated with people in ways that met their needs.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and
dignity. They understood and responded to their individual needs. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
People’s care, treatment and support plans reflected their range of needs and this promoted their
wellbeing and enjoyment of life. People could communicate with staff and understand information
given to them because staff supported them consistently and understood their individual communication needs.
People received care that supported their needs and aspirations, which focused on their quality of life, and followed best practice. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Right Culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.
Staff knew and understood people well and were responsive, supporting their aspirations to live a
quality life of their choosing. People and those important to them, were involved in planning their care. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Inadequate (published 14 August 2021) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspec