We completed an unannounced inspection of BeTo Solutions Ltd on 27 June 2018. This was our first time inspecting the service since their registration with us in 15 September 2016.

BeTo Solutions is a ‘supported living’ service and is registered to provide the regulated activity of personal care to people living in their own home. This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. The service followed the voluntary Reach Standards that promote rights, choices and inclusion for people living in supported living settings.

People told us they felt safe living at the service and that they enjoyed living where they lived receiving the support they did. People were safeguarded as staff knew what to do if they suspected abuse and the risks the people faced living the lives they wanted to live. Incidents and accidents were recorded so that staff could learn and improve from them. Staff knew how to administer medicines and what to do if there was an error. People and their relatives, and also staff, felt there was enough staff working at the service. The registered manager completed checks on staff to make sure they had the right experience and qualifications for their roles.

People's needs and choices were met by trained staff who completed detailed and consistent care plans that were personalised to individuals. People could choose what food they wanted to eat and made further choices about how they wanted to spend their time and how they received care and treatment. Staff shared information with people, each other and other professionals appropriately. Staff understood the Mental Capacity Act 2005 (MCA) and what it meant for people using the service. Staff knew about the Deprivation of Liberties Safeguards (DoLS) and how it affected people using the service.

People were encouraged to live as independent a life as possible. People had rich meaningful lives that the service supported them to live. People's care plans detailed their needs, their likes and dislikes and the risks they faced. The service communicated with people as much as possible and sought their views and choices in a variety of ways. People's privacy and dignity was respected by the staff using the service.

The service provided personalised care to each person using the service. People were assisted to lead active lives and pursue suitable pastimes. People and their relatives knew how to make complaints about the service but no one we spoke to had anything negative to say about the provider or the service they provided.

The registered manager was highly regarded by people using the service, their relatives and by the staff. It was clear they wanted the best for the people and were keen to promote the rights and choices of those using the service. There were clear lines of accountability for those employed by the service and staff knew what was expected of them. There were regular meetings for the people using the service, for the staff team, for the management team and for the re