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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2019

About the service

Aspire Support is a service providing personal care to people in their own homes, some of which were supported living services. The service supports people with all types of needs. At the time of inspection 35 people were supported.

The majority of people supported by Aspire support were living in a supported living type service where there was an office and staff available 24 hours a day. Other people using this service were supported with arranged visits in their own home. 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.

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.

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

People and their relatives were positive about the service and the care provided. There was a real culture of inclusion from the top down. People were visited by quality assurance assessors with lived experience to check the quality of their service. Also, the service quality director had lived experience and championed people’s voice throughout the service. People benefited from the new initiatives and ideas to improve opportunities for social interactions to ensure social inclusion. Staff were passionate about providing care in a very personalised way and worked with the management team to facilitate this. There was a culture of openness that was reflected in all aspects of the service where people and staff had a voice. Suggestions and ideas were acted upon from people, families and staff. Staff were responsive to people's individual needs and wishes and went above and beyond to support people. People’s well-being and independence had improved with the support of staff.

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Skilled, knowledgeable staff were available to meet people's needs. When people needed support with their medicines systems were in place for the safe management of medicines. Incidents and accidents were investigated, and actions were taken to prevent recurrence. Staff followed infection control and prevention procedures.

People's needs were assessed, and care was planned and delivered to meet legislation and good practice guidance. Care was delivered by staff who were well trained and knowledgeable about people's needs and wishes. 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.

People were cared for by staff who were kind and compassionate. People were supported by staff who were warm and considerate towards them. People and their relatives felt involved and supported in decision making. People's privacy was respected, and their dignity maintained.

People's concerns were listened to and action was taken to improve the service as a result. The management team were open, approachable and focussed on providing person centred care. The management team and staff engaged well with other organisations and had developed positive relationships. The management team worked on promoting strong community links to ensure people could access the support they needed.

The service applied the principles and values of Registering the Right Support an

Inspection areas

Safe

Good

Updated 7 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 7 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 7 August 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 7 August 2019

The service was well-led.

Details are in our well-Led findings below.