Updated 22 April 2025
Date of Assessment: 17 April to 9 June 2025.
Pathways of Hope is a domiciliary care service providing support to people living at a supported living service. Not everyone who used the service received personal care. CQC only inspects where people receive the regulated activity of personal care. This was the first inspection of the service’s provision within a supported living service.
Systems and processes were in place to mitigate the risk of harm to people and to protect them from abuse. Staff had a clear understanding of their responsibilities under safeguarding, while the provider understood their regulatory responsibilities. People were involved in the management of risk to their care and support. People were supported by enough staff who had received the appropriate training to meet people’s needs. Appropriate infection control procedures were in place to keep people safe.
The service promoted good health and wellbeing outcomes for people and to people’s quality of life. People received personalised care that was tailored to meet their individual needs, preferences and choices. Care plans were detailed and guided staff about people's needs and how to meet them. Concerns and complaints were listened to and used to improve the service they received.
People, staff and relatives spoke positively about the registered manager. Management was approachable and open to feedback and discussions about people’s care. The quality of people’s care was supported by effective quality assurance systems. The registered manager encouraged feedback from people, staff and professionals involved in people’s care.
The primary need of those people supported by Pathways of Hope at the supported living service was support with mental health, although two people had a secondary diagnosis of mild learning disability. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.