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Archived: Louise House Outstanding

This service is now registered at a different address - see new profile

Inspection Summary

Overall summary & rating


Updated 9 October 2019

About the service

Positive Steps Shropshire is a shared lives scheme which provides people with long-term placements, short breaks and respite care, within shared lives carers (SLC) own homes. The service also provides domiciliary care. 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. At the time of the inspection 53 people were living in long-term shared lives arrangements, and 44 people accessed shared lives for respite only. There were 26 people who received domiciliary care.

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 outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

We saw excellent examples of how people were supported to remain safe at times when they were at significant risk. The risk of abuse was minimised because there were clear processes, training and procedures in place to protect people. Staff and SLC were proactive and supported people to take positive risks, ensuring they had maximum choice and control of their lives.

The provider's robust recruitment processes for staff and SLC, along with the matching process, had exceptionally positive outcomes for people.

Medicines were managed safely. There was an open and transparent culture in relation to accidents and incidents and they were used as opportunities to learn and lessen risks.

Staff and SLC had exceptional skills and knowledge to deliver care and support in a person-centred way. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.

People's needs were met through robust assessments and support planning. We saw examples of when the service had worked with other professionals to achieve positive outcomes for people and to improve their quality of life.

People's privacy, dignity and independence was made a priority in supporting people in all areas of life. People could plan for their future, including their wishes at end of life.

People told us staff and SLC were exceptionally compassionate and kind. Staff and SLC expressed commitment to ensuring people received high-quality care. We heard excellent examples of how SLC ensured people felt part of their family. SLC and staff knew people exceptionally well. People were encouraged to learn new skills to enhance their independence.

We saw excellent examples of how the care and support people received enriched their lives through meaningful activities. The service was proactive in its response to concerns or complaints and people knew how to feedback their experiences.

The management team planned and promoted holistic, person-centred, high-quality care resulting in excellent outcomes for people. The values and culture embedded in the service ensured people were at the heart of the care and support they received. SLC and staff told us they received excellent support from management and staff told us they were extremely proud to work for the service

Inspection areas



Updated 9 October 2019

The service was safe.

Details are in our safe findings below.



Updated 9 October 2019

The service was effective.

Details are in our effective findings below.



Updated 9 October 2019

The service was exceptionally caring.

Details are in our caring findings below.



Updated 9 October 2019

The service was responsive.

Details are in our responsive findings below.



Updated 9 October 2019

The service was exceptionally well-led.

Details are in our well-Led findings below.