Setting Up a Supported Living Service: CQC Registration Essentials

What is Supported Living?

Supported living is a service model where adults with care and support needs live in their own homes with assistance from support workers. Unlike residential care, the accommodation is separate from the care provision, giving individuals greater independence and control over their lives.

When is CQC Registration Required?

CQC registration is required when your supported living service provides personal care as a regulated activity. If you only provide housing-related support, social activities, or help with daily living tasks that do not constitute personal care, you may not need to register.

Understanding the Regulatory Framework

Supported living services must comply with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the Care Quality Commission (Registration) Regulations 2009. The fundamental standards of care apply to all registered services.

Service Models

Supported living can be delivered in various settings including individual flats, shared houses, or purpose-built complexes. Your registration application should clearly describe your service model and how care will be delivered in each setting.

Supporting People with Learning Disabilities

Many supported living services specialise in supporting adults with learning disabilities. Your application should demonstrate your understanding of positive behaviour support, communication needs, and the principles of person-centred active support.

Mental Health Support

Services supporting people with mental health conditions must demonstrate expertise in recovery-focused approaches, risk management, and working alongside community mental health teams. Staff training in mental health awareness is essential.

Separation of Care and Housing

A key principle of supported living is the separation of care provision from accommodation. Service users should have tenancies or licences that are independent of their care package, ensuring they can change care providers without losing their home.

Local Authority Commissioning

Most supported living services work with local authority commissioners to accept placements funded through individual care budgets. Understanding the commissioning landscape and developing relationships with adult social care teams is crucial for business sustainability.