This inspection took place on the 22 and 23 August 2017. Consummate Care provides supported living to people with learning disabilities in their own homes in Northamptonshire. At the time of our inspection there were 12 people receiving care.

There was a manager in post who had applied to become the registered manager. There had been a restructuring process in place and the previous registered manager was still an active business manager with in the service, which ensured people received consistent care and support during the management changes. 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 service demonstrated an excellent commitment to providing outstanding care which was embedded into the practices of the staff and the management team. The service put people’s views at the forefront of the service and designed the service around their needs.

Staff were encouraged and enabled to work creatively which achieved consistently outstanding outcomes for the people receiving care and support. There was a strong system of quality assurance led by the provider and manager that ensured people consistently received exceptional care and support.

The people receiving care from Consummate Care had an enhanced sense of well-being and quality of life because staff worked innovatively to enable people to have meaningful experiences and to become active members of the local community.

Staff were empowered to work creatively and to develop positive therapeutic relationships with people. Staff were proud of the support that they provided to people and the positive outcomes that they had observed. People had been supported to make their accommodation a home that they were comfortable living in.

Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals to the court of protection if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty.

People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support. The people supported by Consummate Care had complex needs and people who demonstrated behaviour that may challenge services received care that was based upon best practice guidelines that met their individual needs and successfully reduced instances of incidents within people’s home.

People were at the heart of the service and staff were committed to enabling people to live full, varied and fulfilled lives. People were supported in creative ways to continue to achieve their aspirations and have new experiences.

Staff demonstrated the provider's values of offering person centred care that respected people as individuals in all of their interactions with people. People, their relatives and the professionals involved in people's care consistently told us that the service achieved exceptional outcomes for people.

People could be assured that they would be supported by sufficient numbers of staff. A number of people within the service received care from staff on a one to one basis and records showed that people received their care in the way they needed to maintain their safety.

People's health and well-being was monitored by staff and they were supported to access health professionals in a timely manner when they needed to. People were supported to have sufficient amounts to eat and drink to maintain a balanced diet.

People experienced caring relationships with staff and good interaction was evident.