You are here

Paradise Independent Living Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 10 December 2019

About the service

Paradise Independent Living is a supported living service providing personal care and aims to support and rehabilitate people with acquired brain injuries. At the time of the inspection, 14 people were using the service in three supporting living settings.

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

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. However, we found instances where people were subjected to restrictions and prompt action had not been taken by the provider to ensure any potential deprivation of liberty was lawful.

Medicines were not managed safely. There were no clear individual protocols for people receiving ‘as and when required’ (PRN) medicines.

Personal Emergency Evacuation Plans (PEEPS) for people using the service were not individualised in accordance to people’s needs.

There were systems in place to assess and monitor the quality of the service provided. However, these were not always effective and did not identify the shortfalls found during this inspection.

People and relatives spoke positively about the service. They told us they felt safe and their needs were being met. Risk assessments were in place to prevent or reduce the risk of people being harmed. Staff followed appropriate infection control practices. Appropriate numbers of suitably skilled staff were available to meet people's needs. Accident and incidents were recorded and acted upon. Any lessons learnt were used as opportunities to improve the quality of service

Staff had the knowledge and experience to support people's needs. They were supported through induction, training and supervision to ensure they performed their roles effectively. Assessments were carried out to ensure people's needs could be met. People were supported to maintain good health and access healthcare services when needed. People were supported with their nutritional and hydration needs.

People's privacy, dignity and independence was promoted. People told us support workers were kind and caring. There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

The provider worked with healthcare services and professionals to plan and deliver an effective service.

Rating at last inspection

The last rating for this service was Good (published 21 March 2017).

Why we inspected

This was a planned inspection based on previous rating.


We have identified breaches in relation to safeguarding service users from abuse and improper treatment, safe care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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

Inspection areas


Requires improvement

Updated 10 December 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 10 December 2019

The service was not always effective.

Details are in our effective findings below.



Updated 10 December 2019

The service was caring.

Details are in our caring findings below.



Updated 10 December 2019

The service was responsive.

Details are in our responsive findings below


Requires improvement

Updated 10 December 2019

The service was not always well-led.

Details are in our well-Led findings below.