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Pathways Supported Living (IntegraCare) Outstanding

Inspection Summary

Overall summary & rating


Updated 25 February 2020

About the service

Pathways Supported Living (IntegraCare) is a supported living service providing personal care to 3 people at the time of the inspection. Pathways Supported Living (IntegraCare) is a house adapted to accommodate people transitioning from residential care to supported living. People are supported to build life skills before being considered for progression to independent living in their own accommodation.

Services for people with learning disabilities and or autism are supported

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 serviced receive planned and co-ordinated person-centred support that was appropriate and inclusive for them.

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

Feedback about the support provided to people was extremely positive. Health professionals described the service people received as the best they had seen. People received high-quality, person-centred support from staff that were committed and motivated to helping people exceed their expected outcomes, goals and aspirations.

People participated fully with the local community. They had access to a variety of activities which enhanced their outlook, motivation and sense of purpose. People told us they could raise any concerns with the manager and be confident they would deal with them professionally. People's wishes at the end of life were explored and planned for in exceptional detail.

Staff demonstrated effective skills in communication and behavioural support strategies. Staffing levels were adjusted on a daily basis to suit the needs and choices of people living at the service. Peoples needs were assessed holistically and modelled on best practice, considering individualised approaches to deliver the best outcomes for people.

Feedback from health professionals about the management team was extremely positive. There was a clear leadership structure, focused on supporting people to develop strategies to rehabilitate and reach their true potential in life. Staff were focused and inspired to achieve the aims of the service, for people to live as independently as they could whilst championing their rights for equal opportunities. The management team considered staff well-being and supported them both personally and professionally. Quality assurance processes demonstrated continual improvement and initiatives to reassess and continuously improve the services for people. People were empowered to have their say and be at the centre of all decisions involving them.

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. Staff cared about the people they were supporting and respected their wishes.

Staff knew how to safeguard people from harm and abuse. Medicines were managed in line with best practice guidelines. Staff received comprehensive training and regular supervisions to support their professional development. Recruitment procedures were robust, and people were involved in this process.

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

Rating at last inspection

This service was registered with us on 31/05/2016 and this is the first inspection.

Why we inspected

This was the first planned inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner

Inspection areas



Updated 25 February 2020

The service was safe.

Details are in our safe findings below.



Updated 25 February 2020

The service was effective.

Details are in our effective findings below.



Updated 25 February 2020

The service was caring.

Details are in our caring findings below.



Updated 25 February 2020

The service was exceptionally responsive.

Details are in our responsive findings below.



Updated 25 February 2020

The service was exceptionally well-led.

Details are in our well-led findings below.