This inspection took place on 14 December 2017 and was announced. This was the first inspection of the service since they registered this location with the Care Quality Commission (CQC) in 2016. We have rated the service good.

Care Organiser provides care and support to people living in nine ‘supported living’ settings, 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 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. At the time of our inspection 41 people were using the service.

There is a Registered Manager at this location. 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 needs were met by staff; however, the way staffing levels was commissioned needed to improve. Staff underwent a recruitment checks to ensure they were suitable to work with people.

Staff were trained to protect people from abuse. They knew the signs to recognise abuse and the procedure to report any concerns. They also knew how to escalate their concerns to external agencies should it not be addressed internally.

Risks to people were identified and actions put in place to minimise harm and keep people safe. People received their medicines as prescribed and the management of medicines was safe. Records of incidents were maintained and actions put in place to reduce reoccurrences. Lessons learnt were shared with staff. Staff were trained and followed good infection control procedures.

Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People consented to their care before they were delivered.

People’s care needs were assessed and care plans developed on how identified needs would be met. Staff were supported through an induction, supervision, appraisal and training to provide effective support to people. People were supported to meet their dietary and nutritional requirements. Staff supported people to access health and social care services to maintain good health. The service supported people when they moved between services to ensure their needs were met.

People were treated with compassion, kindness and their privacy and dignity was always respected. People had choice about how they wanted their day-to-day care delivered and staff respected their decisions. People were encouraged to maintain their independence as much as possible. The service promoted people’s religious beliefs and culture and supported them to maintain these.

People’s care and support was planned, documented and delivered in a person-centred way. It reflected their choices, preferences, personalities, needs and individuality. People received support from staff to meet their needs and achieve their goals. People were supported to engage in the activities that they enjoyed. People were supported to socialise, learn new skills, and maintain relationships with family. People and their relatives knew how to complain about the service should they need to.

People and their relatives told us they were happy with the service. Staff told us they received th