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City Care Partnership Limited Outstanding

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

Inspection Summary

Overall summary & rating


Updated 10 August 2019

About the service:

City Care Partnerships is a domiciliary care agency. It provides personal care and support to people living in their own houses and in five ‘supported living’ settings. They support autistic people and people with a range of complex learning disabilities. At the time of the inspection 16 people were being supported by the service.

People’s experience of using this service:

The service had improved its overall rating of good awarded at the last inspection in 2016 to Outstanding.

The service had been developed and designed in line with the principles and values that underpin Registering the Right Support and this had led to highly person-centred care and support. The principles reflected the need for people with learning disabilities and autistic people to live meaningful lives that include control, choice, and independence.

People’s lives were greatly enhanced by innovative and creative person-centred support that maximised their opportunities for self-development and growth.

People told us the support from staff was ‘fantastic’ and ‘amazing’. Relatives told us that the staff team were “phenomenal” and “absolutely fantastic” in their understanding of supporting autistic people. They described the input of the service as being 'life-changing'.

Staff were passionate and really cared about making a difference to the people they supported so that they could lead the best lives possible. People were supported to lead fulfilling, active lives and to be active citizens within the local and wider community. This had led to people’s aspirations and dreams being realised.

Great emphasis was placed on people being physically and mentally active to promote well-being. Yew Tree Hub, the provider’s unique activity hub complex, was a key feature of the services success. People worked at Yew Tree dog kennels, helped to run a stable and livery centre and to grow and sell organic farm produce. Expressive arts were a major focus with many opportunities for dance, song, music, art and drama. This had led to long-term employment and volunteering opportunities that people and their relatives had previously not thought possible.

The service had a proven track record of providing exceptional care and specialist support. This was achieved through input from the providers Central Support Team (CST) employing a clinical psychologist, a speech and language therapist and trained behaviour specialists. Great emphasis was placed on analysing and using data to understand people’s behaviours that maybe challenging and communication needs.

The staff team were highly trained and this had led to a major reduction in behaviours that may challenge the service and the need to use physical interventions with people. People were exceptionally well supported when transitioning between services, especially for people whose previous placements had broken down. As a result people’s outcomes and quality of life had been significantly improved through this exceptional support planning.

People were expertly 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 were key to this practice.

People we spoke with and staff told us the leadership and management was inspiring. The service acted as a role model for other services sharing ideas and best practice and had been nationally acknowledged as a leader in the learning disability sector.

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 August 2016).

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



Updated 10 August 2019

The service remained safe

Details are in our Safe findings below.



Updated 10 August 2019

The service had improved and was exceptionally effective.

Details are in our Effective findings below.



Updated 10 August 2019

The service had improved and was exceptionally caring.

Details are in our Caring findings below.



Updated 10 August 2019

The service had improved and was exceptionally responsive.

Details are in our Responsive findings below.



Updated 10 August 2019

The service had improved and was exceptionally well-led.

Details are in our Well-led findings below.