Inspiring Aspirations Plus

At the time of our inspection Inspiring Aspirations Plus was providing a supported living service to four people. All four people lived in their own homes with no shared facilities and received 24- hour care and support.

CQC only inspects where people receive a regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked only at people's personal care and support.

Affiliated with the service was a community hub located near the office premises. This was known as the 'New Skills Centre' and provided a range of services to people. This included tailored activities, access to resources and assistance with daily living skills. We looked at this as part of the inspection.

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.

Right Support We observed people were comfortable in the company of the staff who supported them; interactions were positive and meaningful. Staff understood how best to communicate with people, using body language, sounds and pictures to aid understanding where required. People were assisted by staff to manage their own health care needs. Staff worked proactively with other health and social care professionals to support people to achieve good outcomes and enjoy a person-centred quality of life.

People were encouraged and supported to be independent and to engage in tailored activities and pursue interests that were important to them. Staff spoke knowledgeably about how they ensured people received care that met their diverse needs, including protected characteristics. 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.

Right Care People received responsive, person-centred care that met their individual needs. Staff observed people's privacy, dignity and confidentiality and treated them with respect. There were enough suitably trained, recruited and supervised staff to meet people's needs. Risks to people were regularly monitored and assessed and adapted where needed. Staff managed people's nutrition and hydration risks well, supporting them to choose healthy and balanced diets taking into consideration their likes, dislikes and preferences. Trained staff safely administered medicines to people.

Right Culture: A person-centred and inclusive culture was evident in the service. Feedback from people, relatives and staff was actively sought and acted on. Staff worked well with each other and morale was good. Staff felt recognised and valued by the provider and management team. Complaints, concerns, accidents, incidents and safeguarding issues were appropriately reported, recorded and investigated. This included lessons learnt to mitigate risk and prevent reoccurrence. Effective governance frameworks were in place to underpin continual development of the service and ensure people received good quality of care.