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Beyond Limits (Plymouth) Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 29 April 2020

About the service

Beyond Limits (Plymouth) provides a supported living service to people living in their own homes. The service specialises in providing 'bespoke' packages of care for adults with learning disabilities, autistic spectrum disorders, mental illness, or physical disabilities. At the time of this inspection the service was supporting 19, eight of whom required support with personal care. Everyone supported by the service lived individually in their own home. Where people required support 24 hours a day, facilities were available for staff, such as a bedroom for those who slept-in overnight.

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

Beyond Limits (Plymouth) was a truly person-centred service. Empowerment, respect and protecting people’s rights as citizens were the driving force behind the service’s ethos of how people should be supported. People were involved from the first time they met with the provider and registered manager to develop the support network they needed to live successfully in the community.

Beyond Limits (Plymouth) provided a dedicated team of staff for each person, supported by professionals, to ensure people could live their best life. The service was determined to overcome the barriers and discrimination people had faced to living an ordinary life in the community. One professional told us, “I think they are an excellent provider, their particular strengths are including people and their families in their support, they are creative and very individualised” and another said, “They are able to see the potential in people that others would not.”

People received a service that was exceptionally personalised. 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. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensured that people who used the service could live as full a life as possible and achieve the best possible outcomes that included control, choice and independence.

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. Consistent care and support from well-trained staff, who had been individually chosen by people, was seen as important to develop trusting relationships between people and their staff team. People knew they could trust how staff would respond to them and they could rely on them for safe support. The service recognised this as being essential to people’s success. People told us how positively their lives had improved since being supported by the service. For example, some people no longer required medicines to help them cope with their anxieties, other people who had previously experienced physical interventions to manage their behaviour no longer required this, and others were able to undertake educational courses and/or find employment.

The service placed a strong emphasis on assessing and managing risk to support people’s positive risk taking to increase their confidence and independence. The service used innovative ideas to support people’s development including the use of technology through developing interactive websites. One professional told us, “The focus is always on enhancing quality of life and community links, but they are still mindful of safety, but this does not deter them from working with the person to achieve important goals”

The service continued to work closely with other professional and national organisations to promote and demonstrate how successful individualised, person-centred support can be, especially for people who in the past had been considered the most ‘challenging’. The service encouraged people to share their success with other professionals to influence how services could be developed for people with complex support needs. For example, one person went to national conferences for professionals to describe their support and how successful it had been.

The service saw itself as a learning organisation with a willingness to reflect on what went well for people and where the service needed to adapt and improve. A member of staff told us, “If there is a challenge everyone comes together to figure out how we can adapt to make something work and ensure that everyone that wants to participate can be included.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was outstanding (published 14 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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

Safe

Good

Updated 29 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 29 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 29 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 29 April 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 29 April 2020

The service was exceptionally well-led.

Details are in our well-Led findings below.