This was an announced inspection, which took place on 7, 8 and 13 June 2016. The inspection was an announced and part of the wider trust inspection of Pennine Care NHS Foundation Trust. Pennine Care NHS Foundation Trust is registered to provide mental health and community services to people who live in Bury Oldham and Rochdale. The Trust also provides mental health services in Stockport, Tameside and Glossop as well as community services in Trafford.

We had previously carried out an inspection in February 2013 of Cambeck Close short breaks scheme when we found the service had complied with all the regulations we reviewed.

Cambeck Close provides an overnight accommodation short break service to children and adults who live in Bury, who have a severe learning disability and complex healthcare needs and may have behaviour that challenges the service. Personal and nursing care support was provided. Children and Adults are accommodated separately in two three bedded adapted bungalows. At the time of our visit, 22 children and 20 adults were accessing the short breaks scheme and were allocated overnight stays throughout the year.

The service also provides personal care services to adults with learning disabilities in their own home. This arrangement is called ‘supported living’ because people are supported to live often in groups, in properties, which are provided by a housing association or other landlord. At the time of our inspection, the service provided 24 hour support to eleven people in four properties, in the Bury area. At the time of our visit to the short breaks scheme, two children and one adult were staying at the service. We also visited two of the four supported living houses were six people lived.

There was a registered manager in place at the service. 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 who were able told us that they felt safe at the service. Staff we spoke with told us that they had received training in safeguarding children and vulnerable adults. They knew what action to take if they had any concerns about a person being at risk of harm or poor practice.

Recruitment processes in the service were sufficiently robust to help ensure the protection of vulnerable people from the risks of unsuitable applicants being recruited.

We saw that there were sufficient staff available to meet people’s needs. No outside agency staff were used by the services. This meant that people who used the service received consistent support from a staff team who knew them well.

There were systems in place to ensure the safe administration of medicines and effective infection control practices. Staff had received the training they needed to support people safely and effectively.

We saw that the premises we visited were user friendly. They were well maintained, homely, brightly decorated and adapted to meet the needs of people with disabilities.

People told us and we saw that they were encouraged to eat healthily.

People had the access they needed to health and social care professionals.

The atmosphere in the services was relaxed and friendly and there was a good rapport between people who used the service and the staff supporting them.

We saw that those who used the services had person centred care records, which included easy read formats and photographs that helped people to be involved.

People had access to a range of activities that met their individual needs and were encouraged to be as independent as possible.

All the people we spoke with told us the registered manager and all the staff were approachable and would always listen and respond if they raised any concerns.

During this inspection, we contacted the

At the time of our visit, three children and one adult were staying at the service. We saw that staff were decorating the lounge and conservatory in the adult’s bungalow in preparation for a Valentine’s party later that afternoon.

We saw that the people staying at the service had complex disabilities and health care needs. This meant that they were unable to tell us about their experiences of receiving a service. However, we did see that the people were settled, received individual respectful support and responded positively to staff support.

We spoke with the relatives of two people who used service. They told us that they were consulted about the care needs of their relatives and that they agreed to the content of the care plans and risk assessments. One relative said about the service, “It’s a life line”, “I trust staff to care for [my relative]” and “They [the staff] do a marvellous thing”. Relatives said they felt able to raise any concerns if they needed to.

We saw that there were sufficient staff available to meet people’s needs. Staff were enthusiastic about their job and demonstrated a good understanding of providing individual support and safeguarding people.

The two bungalows were maintained appropriately, were homely and adapted to meet the needs of people with disabilities.