Date of Assessment: 19 to 21 January 2026. Lifeways Community Care Limited Nottingham is a supported living service providing support to adults of all ages living with mental health conditions, physical disabilities, a learning disability and autistic people. At the time of our assessment the provider managed 6 locations which were a mixture of single occupancy flats in a wider building and small group living settings. 22 people were receiving the regulated activity of personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence, and good access to local communities that most people take for granted. Right Support: People were encouraged to lead their lives in their chosen way and supported to access meaningful activities, including work, education, and developing their skills. Staff involved people in decisions and planning any changes to their care. People were supported to have maximum choice and control of their lives, staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were kept safe. Staff understood and managed risk while supporting people to take part in activities in their local community, develop and maintain relationships, and try new things. There were enough staff with the right skills, qualifications, and experience. The registered manager made sure staff received training and regular supervision to maintain good quality care. Staff did not consistently manage medicines well, but people had regular health checks and medication reviews. Right Care: People were treated with kindness and compassion and received dignified care that respected their privacy and human rights. Care and support was person-centred although records did not always clearly demonstrate this. Individualised care and support plans were in place that enabled staff to provide person centred, outcome focussed, and safe care for each person. People’s preferred communication styles were known, clearly documented in their support plan, and respected. Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people supported by Lifeways Community Care Limited Nottingham team led confident and inclusive lives. Staff and managers had shared values which were based on supporting people to live an ordinary life as any other citizen with the same rights and opportunities.
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Lifeways Community Care Limited (Nottingham) achieved an overall Good rating across all five key questions at its November 2022 inspection, with 49 people using the service benefiting from safe medicines management, personalised care planning and a respectful, dignified approach from staff. Minor weaknesses were identified in complaints process consistency and family communication, both of which the registered manager committed to addressing.
Concerns (3)
moderateComplaints handling: “We were not assured the providers complaints process was being followed at all locations.”
minorCommunication with families: “Some relatives felt communication could be better. One relative said, 'I used to get a brochure about the service and questionnaire. However, not anymore.'”
minorCommunication with families: “A relative said, 'Managers come and go, we don't know who it is and have had no contact from them.'”
Strengths
· Medicines were safely administered with completed MAR records regularly audited and staff assessed as competent.
· Staff understood safeguarding procedures and knew how to report concerns appropriately.
· Risks were identified, assessed, managed and regularly reviewed with up-to-date support plans.
· Safe recruitment practices in place including Disclosure and Barring Service checks.
· Staff received induction training, regular supervision and ongoing training including infection control.
Quality-Statement breakdown (24)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and take part in activitiesGood
responsive: End of life care and supportGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Continuous learning and improving careGood