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Affinity Supporting People Limited Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 31 August 2019

About the service

Affinity Supporting People Limited is a domiciliary care agency. It provides personal care to people living in their own homes and provides care and support to people living in 11 ‘supported living’ settings, so that they can live as independently as possible.

The service provides support to adults living with mental health needs, a learning disability or an autistic spectrum disorder.

At the time of the inspection, Affinity Supporting People Limited was providing a service to 98 people. Not everyone who used the service received personal care. The Care Quality Commission (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 care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The Secretary of State has asked CQC to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

People were provided with an excellent person-centred service which was very responsive to their needs, wishes and preferences. The overarching value of the service was, “Your Life, your way”. Throughout the inspection, we saw numerous ways of how this value was implemented and embedded into the ethos of the service to provide excellent outcomes for people.

Management and staff had an extremely positive impact on people's lives and went above and beyond to understand and respond to people's needs and preferences. They supported people's ability to express themselves and included their wishes and aspirations in support planning and activities. The service had taken a key role in the local community. Staff were actively involved in making contact with community resources and support networks to ensure people had access to a broad range of meaningful activities which improved their quality of life, developed their self-confidence and their self-esteem.

We saw excellent examples of where partnership working had improved people’s independence, safety and wellbeing, and met their needs and aspirations. 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. Detailed risk assessments followed best practice guidance and included positive risk taking to optimise people's opportunities to engage in activities.

The

Inspection areas

Safe

Good

Updated 31 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 31 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 31 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 31 August 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 31 August 2019

The service was exceptionally well-led.

Details are in our well-led findings below.