About the service: Creative Support – Manchester Services provides personal care and support to people with learning disabilities, living in their own tenancies. At the time of inspection, the service was supporting five people living in two properties.

People’s experience of using this service:

People were supported safely and had appropriate risk assessment in place to reduce any risk. Staff members were knowledgeable of the risks people presented and could describe strategies reduce risk and ease anxieties.

Staff were recruited safely and were inducted into the service. Staff received regular supervision and training to enable to carry out their job role effectively.

People, their relatives and staff told us they would have no hesitation in report any concerns to the registered manager. Staff had received training in safeguarding vulnerable people from abuse and were confident the registered manager would act on any concern's raised.

People received a thorough assessment of their needs to ensure the service could meet their needs. People and their relatives felt involved in the assessment. Choices and preferences were captured and fed into care plans.

People were supported to manage their health needs and attended regular health surveillance appointments.

Healthy and nutritious diets were supported and people were encouraged to cook meals. Cultural diets were catered for.

The service has been developed and designed 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.

Our observations were that people were well cared for and people were at ease with the staff team. Relatives told us, their relative was well cared for.

Staff were kind and respectful to people and knew people well. A consistent staff team supported people effectively.

Care plans were detailed and person-centred and involved people and their families. Care plans set goals for people to work towards and were regularly reviewed.

Complaints were listened and responded to in a timely manner. Relatives told us they have open lines of communication with the registered manager which enabled any concerns to be dealt with quickly.

The service effectively supported people at the end of life. Care planning to support people at the end of life captured peoples choices and preferences. The service liaised with health professionals to ensure people were pain free and well cared for.

The registered manager and the wider management team had good oversight of the service. Regular monitoring to monitor and improve the service was in place.

The staff team felt supported by the registered manager and were able to attend regular staff meetings.

The registered manager was supported by a wider management team who had the skills and knowledge to support people with complex conditions.

Rating at last inspection: The last inspection of this service was on 22 and 23 September 2016 and was rated good in all of our key questions. The report was published on 2 November 2016.

Why we inspected: This was a scheduled inspection as part of our inspection process.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our programme of inspection. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk