At the last comprehensive inspection on 12 October 2014, the service was rated Good.

At this announced inspection on 18 January 2018, we rated the service as Outstanding.

Office S10, Bradshaw Support Limited provides care and support to people living in 14 supported living’ settings. The service specialises in supporting people living with autism or those with a learning disability to live independently in their own homes. They provide support with personal care, food preparation, managing finances and enabling people to undertake activities in the local community. People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

There was a registered manager in post. 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.

People's experiences of care were overwhelmingly positive. They told us they were supported by very kind, caring and compassionate staff that often went the extra mile to provide them with exceptional care. The staff and the management team were extremely passionate about providing people with support that was based on their individual needs, goals and aspirations. We saw that people were at the centre of their care and found clear evidence that their care and support was planned with them and not for them. Each person was treated as an individual and as a result, their care was tailored to meet their exact needs.

There was a strong culture within the service of treating people with dignity and respect. The staff and the management team were always available and listened to people and their relatives/friends, offered them choices and made them feel that they mattered.

The management team were highly committed to ensuring people lived fulfilling lives. The whole focus of peoples care was person centred and focused on promoting peoples independence. Staff worked with people to identify their dreams and aspirations and celebrated people’s achievements.

The service was exceptional at empowering people to have as much control over their lives as possible and to achieve their maximum potential. The staff were passionate about the person-centred approach of the service and it was clear it was run with and for people. Without exception, people spoke positively about their experience of the service and the successes they had been supported to achieve. It was clear the culture within the service valued the uniqueness of all individuals.

People had access to a wide range of activities, which took account of their personal preferences and were tailored to their individual needs. Staff went to exceptional lengths to encourage people to attend activities and find employment y that would enhance their health and well-being.

People continued to receive safe care. Staff had received training to enable them to recognise signs and symptoms of abuse and felt confident in how to report them. People had risk assessments in place to enable them to be as independent as they could be in a safe manner. Staff understood how to prevent and manage behaviours that the service may find challenging. Effective recruitment processes were in place and followed by the service and there were enough staff to meet people’s needs. People received their medicines safely and as prescribed. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service

People’s needs and choices were assessed and their care provided in line with up to date guidance and best practice. The care that people received co

This was an announced inspection that took place on 12 October 2015; this was the first inspection since the provider was registered with us on 5 June 2014. The service is registered to provide personal care to people in their own homes and specialises in supporting people with learning disability to live independently with assistance in their personal care, food preparation and enabling people to undertake activities in the local community.

The service has 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.

Every effort is put into ensuring that people are cared for in a safe way whilst being encouraged to maintain their independence. This is reflected in the staff’s in depth knowledge about safeguarding, the systems and processes to support their practice in this area.

The whole focus of care is personalisation and independence. Staff work with people to identify their dreams and aspirations and are very creative and innovative in working with people to achieve these.

There is an emphasis on enabling people to lead a healthy lifestyle and they are supported to access the healthcare specialists and the services they require. Staff showed genuine concern and consideration towards the people they cared for and had excellent insight into the needs and challenges they faced.

The management and staff were passionate about enabling people to achieve their potential; there was a strong focus on enabling people to develop and maintain personal relationships and to overcome challenging relationships through the personalised support provided. The quality of people’s lives was also enhanced through their relationships with staff who actively promoted their privacy and dignity.

Highly personalised preadmission assessments take into account the person’s own life experiences and including their ‘dreams and the type of support they hoped for. These assessments formed the basis of the individual’s plans of care and the personalised support they subsequently experienced. People’s personal dreams were identified and staff supported people to identify practical ways that these could be achieved which had a highly positive impact on the quality of their life and self-esteem.

The management delivered highly individualised care and support for the people who used the service; this started with their ambition to ensure people were able to lead as normal a life as possible including maintaining personal relationships, obtaining paid employment and striving to achieve their dreams. People were also supported to take responsibility for their lives and manage adversity such as negative relationships or unsuccessful employment applications.

There is a strong emphasis on continually striving to improve. The management recognise, promote and regularly implement innovative systems in order to provide a high-quality service. The service sustains outstanding practice and improvements over time and works towards, and achieves, recognised accreditation schemes.

The service works in partnership with other organisations to make sure they are following current practice and providing a high quality service. They strive for excellence through consultation, research and reflective practice.

The vision and values are imaginative and person-centred and ensure people are at the heart of the service. They are developed and reviewed with people and staff and are owned by all and underpin working practices. The service recognises the on-going importance of ensuring these are understood, implemented and communicated to people in meaningful and creative ways.

The management had established links with the local community including businesses that provided employment opportunities to the people who used the service.

People were encouraged to express their views about how the service could be improved and developed; they also provided us with positive practical examples of how they had benefitted from the suggestions. People were involved in the running of the service at all levels, including assessments, recruitment and care planning. Regular meetings were held with people who used the service, their support workers and staff to discuss what mattered to them.

Robust quality assurance systems had been established the service had conducted formal satisfaction surveys for people who used the service, relatives and staff. A range of regular audits were conducted to identify areas for improvements and action plans were used to ensure any improvements were completed within an appropriate time frame.