Bright Opportunities Enabling Services Limited

About the service

Bright Opportunities Enabling Service is a supported living service providing personal care to four people at the time of this inspection. The service supports people in their own homes. There is also a day centre section to the business. CQC do not regulate day centres so this was not looked at as part of this inspection.

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

Right Support

There were times when a person had restrictions on their liberty without the appropriate lawful authorisation. The service did not always support people to have maximum possible choice, control and independence. People did not always have control over their own lives. There was not always a process of best interest decision making and staff did not always know what decisions people could make for themselves.

Right Care

People received compassionate care from staff who were kind. However, people’s dignity was not always promoted when people displayed behaviours that were normal for them. There were always enough staff to make sure people received the support they required. People took part in activities they enjoyed. Staff knew people well and were committed to ensuring people achieved good outcomes from their support.

Right Culture

The governance processes were not always effective and had not identified where best practice was not followed. Relatives and professionals told us there was a culture of openness and support. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.

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

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right Support, Right Care, Right Culture.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will meet with the provider after this report has been published to discuss how improvements have been implemented and imbedded. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The service is developed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This aims to ensure 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’s experience of using this service and what we found

The service met the characteristics of Good in all areas.

The provider arrangements for people’s care helped to ensure their safety and protection from avoidable harm, abuse or an acquired health infection. Staff were safely recruited and deployed to provide people’s care. People were supported to take their medicines safely, when they should. The provider acted to ensure people’s safety when things went wrong at the service and to prevent any further reoccurrence.

People received effective, consistent and informed care that met with their needs and choices. Staff were trained and supported to provide people’s care. Staff supported people to maintain and improve their health, through effective communication and information sharing with relevant external health professionals when needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, in line with the law and guidance.

People received care from kind, caring and compassionate staff; who treated people with respect and ensured their dignity, equality, rights and best interests. Staff had good relationships with people and their representatives and knew what was important to people for their care. People were informed, involved and supported to understand and make ongoing decisions about their care as far as possible.

People received timely, individualised care, tailored to their individual needs and wishes. Care was provided in a way that helped to optimise people’s choice, independence, autonomy and inclusion. Complaints and concerns were effectively accounted for and used to improve people’s care quality experience when needed. Arrangements could be made to provide people with personal support to enable their choices and access to relevant health professionals in the event of a life limiting illness.

The providers arrangements for the oversight and management of the service were effective to ensure the quality and safety of people’s care, continuous learning and ongoing service improvement. The registered manager met with the legal requirements of their registration. People received individualised, high quality care, from staff who understood their role and responsibilities. The provider’s engagement and partnership working strategies took account of people’s equality and rights. This helped to ensure the right care outcomes for people and optimise their care experience.

More information is in the full report.

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

This service was registered with us on 24 August 2018 and this is the first inspection.

Why we inspected

This was a planned inspection to provide a rating for the service.

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.