Perspecktive Limited provides a supported living service to people with learning disabilities and autistic spectrum disorder living in their own home. Most people who used the service lived in supported tenancies that were staffed 24 hours a day. The service is registered to provide personal care to people and 22 people received personal care at the time of our inspection.

We visited the offices of Perspecktive Ltd on 22 August 2016. We told the provider 48 hours before the visit we were coming so they could arrange to be there and for staff to be available to talk with us about the service.

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 were at the heart of the service. The provider’s philosophy and values were understood and shared by all the staff team. People’s right to lead a fulfilling life was promoted and encouraged by all staff. People were supported to live their lives as they chose.

Relatives were confident their family member was safe and well looked after by the service. Staff understood how to protect people from abuse and keep people safe. Staff knew the risks associated with people’s care, and there were clear instructions in support plans for staff to follow to manage risks safely.

Checks were carried out prior to care staff starting work to ensure their suitability to work with people who used the service. There was a safe procedure for managing medicines and people received their medicines as prescribed.

The management team were committed to providing a person centred service that valued people’s individual experiences and abilities. Staff shared these values and felt supported to do their work. People, their relatives and staff were encouraged to share their opinions about the service. The managers provided good leadership and regularly reviewed the quality of service provided and how this could be improved.

There were enough staff to deliver the support people required and people received care from consistent staff who they knew well. Staff received training to support them to meet people’s needs effectively and had the right skills to provide the care and support people required.

People were involved in planning their care with the support of people important to them. Care plans focused on people's individual needs, abilities and preferences and how they would like their care delivered. People’s rights, privacy and dignity were respected.

The managers understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) in regards to people’s decision making. However assessments did not always include people’s ability to make decisions or who made decisions on people’s behalf, if they were unable to do this themselves. Some people required 24 hour supervision, where this was a restriction on people’s freedom authorisations had not been applied for.

Care plans contained relevant information for staff to help them provide the personalised care people required. Relatives knew how to complain and information about making a complaint was available to them. Staff said they could raise any concerns or issues with the management team, knowing they would be listened to and acted on.

The management team provided good leadership and relatives who used the service found them approachable and effective. Staff said they received excellent support from the management team. People who used the service, their relatives and staff were encouraged to share their opinions and the provider used their views to improve the service. The management team were committed to providing a high quality service to people.

There were systems to monitor and revie