This comprehensive inspection took place on the 14 and 23 August 2018 and was announced. The registered provider was given 48 hours' notice of the inspection, to ensure that the registered manager or other responsible person would be available to assist with the inspection visit as well as giving notice to people who used the service that we would like to speak with them. This was the first comprehensive rated inspection of the service following their move of office and registration with the Care Quality Commission in December 2016.

MacIntyre Care is a national organisation providing care and support services for adults and children with autism, learning and physical disabilities. MacIntyre Warrington is registered with the Care Quality Commission (CQC) for personal care. It is situated in the centre of Warrington and supports adults and children.

The types of services offered from this location include supporting people living in their own tenancies in single occupancy or shared housing, supported living. This service provides care and support to people living in a supported living setting. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. The service has been developed and designed in line with the values that underpin 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

Other services provided by the service, included people living with families as part of the shared lives scheme. They also provide an outreach support service available to people they support.

Not everyone using MacIntyre Warrington receives a regulated activity. CQC only inspects the service being received by people provided with 'personal care', help with tasks related to personal hygiene and eating. Where they do so we also take into account any wider social care provided.

The organisation has registered three managers at this location, each one has a specific responsibility for each of the services listed above. 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 service has sustained an outstanding level of person-centred care provided to people within all of the services listed above. People told us they received personalised support which was extremely responsive to their needs and requests.

Staff were clear in the ethos of the service to deliver person centred care to the highest standard. Stakeholders and members of multidisciplinary teams shared extremely positive feedback. They shared with us their views that the service was focused on providing support that achieves exceptional results and positively effecting people’s quality of life.

Staff were highly motivated, extremely kind and caring. Feedback from people being supported, stakeholders and families highlighted the care and compassion of the staff teams. People shared many examples of staff being caring and meaningful in their approach and of going above and beyond what might normally be expected of them in their role.

The registered provider, managers and staff showed they had an excellent understanding of people’s communications needs. They had organised different adaptions of information and training to meet people’s needs. They produced numerous examples of how they had been responsive to people’s requests.

Staff fully understood the importance of acknowledging people’s diversity. They made sure they promoted people’s rights including those with protected ch