Excellence Care

The majority of the people receiving a service from Excellence Care do not receive support with their 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 organisation had increased in size since our last inspection. At the time of the inspection the service was providing personal care to 5 people at the service.

People's needs and views were central to everything that happened at the service. People told us the service was somewhere they finally felt safe and respected. A person said, "Without them I don't know where I would be."

Professionals said this was a unique service, which had a vital role in supporting people to live independently and achieve positive outcomes. A health professional told us, "Credit where it is due. Too few services can or will provide this kind of care for adults with complex difficulties."

The registered manager was an outstanding leader who inspired people and staff to reach their potential and have pride in their achievements. Their passion and commitment to excellence spread throughout the service ensuring it was continually evolving to reflect learning and best practice.

The service developed innovative and best practice strategies to support people safely. Staff had an enabling approach to managing risk and empowered people to be fully engaged in developing their own solutions. Staff took preventative action to support people's mental health and enable them to continue living in their local community.

Staff had access to high quality, practical support and training and were exceptionally skilled and dedicated. Care plans contained detailed clinical advice outlining the support people needed. People's voice was threaded throughout the plans. When they disagreed with professionals and staff their views were respected and promoted. Since our last inspection, new style care plans had been introduced to ensure information was given to people in ways they could understand.

Staff were focused on the wellbeing of the people they supported. They worked in close partnership with

professionals to support people to remain healthy. People told us they particularly valued the support they received to help them stay out of hospital.

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.

Since our last inspection the service had been registered to provide support to people with learning disabilities. We found the service upheld the principles and values that underpin Registering the Right Support and other best practice guidance. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

Support was highly flexible and personalised, adjusting to people's changing needs. Staff treated people with dignity, respecting their right to make choices. People developed lasting relationships at the service which they valued and maintained when they no longer received support from the service. The registered manager promoted opportunities for people to feedback about their support. This feedback was used to make the service better.