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This service was previously registered at a different address - see old profile

Inspection Summary

Overall summary & rating


Updated 14 August 2019

About the service

Options is registered to provide personal care and support to people in their own homes. The service operates in Bristol, South Gloucestershire, Bath and North East Somerset and North Somerset. The service supports people with a learning disability, brain acquired injury or mental health to live independently or in communal supported living services. Some people received 24 hour support made up of individual hours and shared support living in shared housing.

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.

There were 12 people receiving personal care at the time of the inspection. There were also 38 other people receiving support services from the agency such as support with social activities but not help with personal care.

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

People received care that was safe, effective, caring and responsive. People and their relatives spoke positively about the support they received.

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. The service was responsive in this area encouraging people to network and foster positive relationships with not only the staff but other people using the service.

There was sufficient staff to support people who had the necessary skills and commitment to provide care that was person centred. Care was commissioned on a very individualised basis. Staff promoted independence with some people positively reducing their hours of personal care because of the skills they had gained.

People were supported to have choice and control of their life 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. People had information in a way they could understand enabling them to make decisions about the care and support they needed.

People were supported by staff that were caring in their approach enabling them to lead the life they wanted. This included supporting people to keep in contact with friends and family. People were supported to make decisions about their care and the way they wanted to live.

The service was well led. There were systems to check and monitor the quality. This again involved people, staff and family.

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 (published February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

The overall rating for the service has remained good. This is based on the findings at this inspection.

The Secretary of State has asked the Care Quality Commission (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 positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

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Inspection areas



Updated 14 August 2019

The service was safe.

Details are in our safe findings below.



Updated 14 August 2019

The service was effective.

Details are in our effective findings below.



Updated 14 August 2019

The service was caring.

Details are in our caring findings below.



Updated 14 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 14 August 2019

The service was well-led.

Details are in our well-Led findings below.