Accomplish Group Lifestyles (South West) LImited

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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.

Staff were innovative in ways of supporting people with their specific needs. Activities were varied and person centred. People were supported to socialise with friends in their local community. People experienced an improved quality of life with positive outcomes due to the support provided by the service.

People received support from small teams of motivated staff. Staff told us, "I love my job, I have never worked for a company like it, they are very supportive. Help is always at the end of the phone if you need it" and "We consistently support the same people in a team, my team is stable and rarely changes."

Families and healthcare professionals were complimentary of the service performance and said, "What can I say but just fantastic. [Person's name] is now a very happy and contented chap," They now have new meaning to their life. We know they really looks forward to their trips out each day, "Thank you so much it has not only changed A's life it has changed our lives in a big way as well" and "Brilliant great work, please tell the team from us that they are amazing."

Records demonstrated people received their medicines on time and staff understood and met their needs. Information about people's needs and preferences were recorded in support plans and staff used this information when planning how to support people.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include 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.

Risks were identified, assessed and reviewed. Staff were provided with guidance on how to manage and mitigate risks while providing support. The service had appropriate procedures in place during periods of adverse weather.

There were enough staff available to provide all planned support. No one reported having experienced a time when staff did not arrive as planned. All necessary recruitment checks had been completed for new staff. New staff completed an induction which involved training and a period of 'shadowing' more experienced staff. Training was refreshed so staff were up to date with any changes in working practices.

Support plans were in place for everyone using the service. People and their relatives were involved in the development and review of support plans. The service used an electronic system to hold details of people's needs but also printed off paper copies for peoples' homes and the office. The information generated by this system was accurate, timely and detailed.

Families told us staff were caring and treated their family members with dignity and respect. Information about people's diverse needs was included in their care records. People and their families were supported to express their views to staff and management.

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.

People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately. Specific support was being provided to some people to help them overcome their anxiety of being treated by healthcare workers such as doctors and dentists.

Staff were well motivated and there was a positive open culture within the service. There was a complaints process accessible to everyone. Records showed action had been taken to address and resolve any issues reported to managers.

The service was well led. Management roles were clearly defined and there were effective quality assurance processes in place.