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Potensial Limited - 23 Elm Road Good

Inspection Summary

Overall summary & rating


Updated 20 December 2019

About the service

Potential Limited – 23 Elm Road North is registered to provide accommodation and personal care to up to six adults with a learning disability and/or autism. There were four people receiving care and support at the time of our inspection.

People’s experience of using this service and what we found

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Family members were confident their relatives were safe and well looked after by staff at the service. Staff showed a good understanding of their roles and responsibilities of keeping people safe from harm. Risks to people had been assessed and those identified were managed safely by competent staff. Where people required support with medication this was managed safely and in line with best practice guidance.

People’s individual needs had been holistically assessed and plans of care provided clear guidance for staff to support people to achieve effective outcomes. People had regular access to health and social care professionals to ensure their needs were met and staff followed guidance where appropriate. Staff supported and encouraged people to participate in the shopping for food and the planning and preparation of meals to help develop independence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Consent for care was not always obtained in line with the principles of the Mental Capacity Act 2005 (MCA). Where people lacked the capacity to make complex decisions about their care and support, consent had been obtained from people not legally authorised to do so.

We made a recommendation regarding this.

Family members spoke positively about the caring approach of the staff team and how well they knew their relative’s needs. Positive relationships had been developed between staff and people using the service. Staff were observed to be kind, caring and respectful towards people and it was clear positive relationships had been developed.

Staff were motivated to deliver care and support that was person-centred and based on people’s needs and preferences. People were supported to access a range of social activities that were based on their interests and goals. Activities were used as a way to help develop independence, skills and healthy living. Staff supported and encouraged people to maintain relationships with those close to them.

The leadership of the service promoted person-centred care and a positive culture within the staff team. Positive comments had been received by family members, staff and external organisations regarding the registered manager and the running of the service. Effective quality assurance systems supported with the continuous learning and development of the service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection – The last rating for this service was good (report published 20 April 2017)

Why we inspected - This was a planned inspection based on the previous rating.

Follow up - We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 20 December 2019

This service was safe.

Details are in our safe findings below.



Updated 20 December 2019

This service was effective.

Details are in our effective findings below.



Updated 20 December 2019

This service was caring.

Details are in our caring findings below.



Updated 20 December 2019

This service was responsive.

Details are on our responsive findings below.



Updated 20 December 2019

This service was well-led.

Details are in our well-led findings below.