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Inspection Summary

Overall summary & rating


Updated 21 December 2019

PICAS (Pathways Independent Care and Autism Services) is a supported living service providing personal care to people aged 18 and over with learning disabilities and/or autism. The service can support up to 10 people living in their owns houses and flats in the London Boroughs of Redbridge, Newham and Hackney. At the time of the inspection, 10 people were using the service, all of whom received personal 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 service supported people with learning disabilities and/or autism in line with these principles.

People lived in houses and flats in residential areas within or nearby town centres. The properties fitted into the residential area and other domestic homes of a similar size.

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

The service was safe. There were procedures to protect people from abuse. Risks associated with their needs were assessed and staff understood how to reduce these risks.

People were supported with their medicines. Staff were trained and competent in administering medicines to people. Staff followed infection control procedures. There was a procedure to review accidents and incidents in the service to learn lessons and prevent reoccurrence. Recruitment procedures were followed safely and new staff had their backgrounds checked to ensure they were safe and suitable to work with people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff felt supported by the registered manager. Quality assurance systems included checks on people’s care and obtaining feedback from people and relatives. The registered manager collated feedback to help make improvements to the service. However, we have made a recommendation for the provider to review how policies and procedures in the service are kept up to date because we found they were not always in line with current guidance.

Staff were supported with training and development to increase their skills and knowledge. People were supported with maintaining their health and nutrition. The service worked in collaboration with health care professionals, to ensure people's health needs were met.

Staff were kind and caring towards people. They respected people’s dignity and privacy. People were encouraged to be independent and go about their daily lives and routines. Staff understood the importance of promoting equality and diversity. People were supported to maintain relationships and a private life.

People received person-centred care and support. Their care plans were personalised according to their wishes and preferences. People were supported to pursue hobbies, interests and vocations of their choice, including finding part time work and educational courses. People were protected from social isolation. Staff communicated with people appropriately according to their communication needs. People and their relatives were supported to make complaints if they had a concern or were not happy with the service.

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 (report published 5 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will return to visit as per our re-inspection programme

Inspection areas



Updated 21 December 2019

The service was safe.

Details are in our safe findings below.



Updated 21 December 2019

The service was effective.

Details are in our effective findings below.



Updated 21 December 2019

The service was caring.

Details are in our caring findings below.



Updated 21 December 2019

The service was responsive.

Details are in our responsive findings below.



Updated 21 December 2019

The service was well-led.

Details are in our well-led findings below.