This inspection was carried out on the 12 September 2016 and was announced. As the service was small we gave 48 hour’s notice of our inspection. This was to ensure the registered manager and people who received support were available to speak with. Care In Safe Hands Healthcare Limited provides care and support to people at Manna House. Manna House is a care home situated in Bootle, located close to public transport links, leisure and shopping facilities. It is registered to provide accommodation for up to seven adults. The building is a three story property with a passenger lift to the first floor. It has a fully accessible large garden to the rear. At the time of the inspection there were seven people living at Manna House.
Care In Safe Hands Healthcare Limited is also registered by the Care Quality Commission to provide personal care to people who live in their own home. This care provision is managed from Manna House. At the time of the inspection the registered provider provided support to six people who chose to share their private accommodation.
Manna House has a manager who is registered with the Care Quality Commission for the care home and personal care provision. 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.
The registered manager told us they were supported by an area manager and a compliance manager. The registered manager told us they worked closely with the managers to ensure Manna House ran smoothly.
People told us they were happy with the care and support they received from Manna House. People told us staff were caring and were knowledgeable of their individual needs.
Staff were able to define abuse and the actions to take if they suspected people were being abused. People who received care and support from staff told us they felt safe.
We found medicines were managed safely. Staff were knowledgeable of the systems in place for the ordering, storage and receipt of medicines.
We saw appropriate recruitment checks were carried out to ensure suitable people were employed to work at Manna House.
There were sufficient staff to meet people's needs. People were supported in a prompt manner and people told us they had no concerns with the availability of staff.
Staff received regular support from the management team to ensure training needs were identified. We found staff received appropriate training to enable them to meet peoples' needs.
Processes were in place to ensure people's freedom was not inappropriately restricted and staff told us they would report any concerns to the registered manager.
We saw people were offered a variety of foods at Manna House and people were supported to eat and drink sufficient to meet their needs. People told us they liked the food provided and they were involved in planning menus.
People were referred to other health professionals for further advice and support when assessed needs indicated this was appropriate.
We saw staff treated people with respect and kindness and people told us they were involved in their care planning.
Staff knew the likes and dislikes of people who received support in their own home and delivered care and support in accordance with people's expressed wishes. During the inspection we saw people who lived at Manna House were supported in accordance with their needs. We saw people were encouraged to maintain their independence and spend time in the community if they wished to do so.
There was a complaints policy in place, which was understood by staff. Information on the complaints procedure was available in the reception of the home in an accessible format. This was also available to people who lived in private accommodation.
Quality assurance checks were carried out to ensure areas for improvement were identified. People who lived at the home and those who received support in their own home were offered the opportunity to participate in an annual survey. This was also provided to relatives.