Background to this inspection
Updated
15 May 2019
The inspection:
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was completed by an adult social care inspector.
Service and service type:
The service is a residential care provider. It provides personal care and accommodation to younger and older adults living with a learning disability and/or autism.
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.
Notice of inspection:
Our inspection was announced.
We gave the service 48 hours' notice of the inspection visit because it is a small service and we needed to ensure people would be available to speak with us as part of the inspection process.
What we did:
Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs). We checked records held by Companies House.
We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We spoke to two people who used the service. Most people were out and engaged with activities at the time of our inspection and some were not able to verbally communicate with us. We spoke to four people's relatives to give us a better understanding of people’s experiences of care at Manna House.
We spoke with the provider, the registered manager and two care staff.
We reviewed three people's care records, three staff personnel files, audits and other records about the management of the service.
Updated
15 May 2019
About the service:
Manna House is a residential service that was providing personal care to seven adults with learning disabilities and/or autism at the time of the inspection.
Situated close to local amenities, the service appears externally as a domestic property on a residential street. Manna House accommodates seven people in one building. There is ramp access to the front of the house. Bedrooms are situated over three floors. A kitchen, laundry room and lounge are situated to the ground floor. There is a large enclosed sensory garden situated to the rear.
People's experience of using this service:
The service has been developed and adapted 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. (Registering the Right Support CQC policy). People were very much a part of the community and accessed the community and its facilities through socialising and activities. Some people had family members and friends who lived locally and visited them on a regular basis. There was enough staff to support people engage in whatever activity they chose. This helped to promote people’s choice, independence and inclusion. The size, layout and staffing arrangements meant that Manna House felt homely. Without exception, people and their relatives told us they considered Mann House as their home.
People received care from staff who had been supported in their role with appropriate training and supervision. Staff were extremely caring and compassionate and knew people's needs and preferences well. Staff did not wear uniforms which helped break down barriers and promote a less formal atmosphere.
Not everyone was able to verbally communicate with us, but our observations showed people were settled at Manna House and considered it as home.
Regular checks and audits were carried out to determine the quality and safety of the care being provided.
Risk assessments had been undertaken to support people safely and in accordance with their individual needs. The service engaged in positive risk taking as opposed to avoiding risk which helped to ensure people had choice and remained as independent as possible.
People were encouraged to express their views and were actively involved in decisions about their care. Information was presented to people in a way they could understand.
The registered manager and registered provider promoted a person centred and transparent culture within the service.
Rating at last inspection:
At our last inspection, the service was rated "good". Our last report was published October 2016.
Why we inspected:
All services rated "good" are re-inspected within 30 months of our prior inspection.
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.
The service met the characteristics for a rating of "good" in all the key questions we inspected. Therefore, our overall rating for the service after this inspection was "good.''
More information is in our full report.