About the service:

• Manna Walk is a residential service that was providing personal care to 7 adults with learning disabilities at the time of the inspection.

• The service is based in a Victorian house set over three floors. It has a large kitchen, laundry area and lounge to the ground floor, with bedrooms over the remaining floors. The service has a spacious sensory garden situated to the rear.

People’s experience of using this service:

• People received care from staff who had been supported in their role with, appropriate training, supervision.

• The service adequately recorded the investigation and analysis of incidents and accidents.

• Regular checks and audits were carried out to determine the quality of the care and to achieve compliance with regulations.

• Although some of the people were unable to verbally communicate with us, our observations showed people were settled in their environment and led a fulfilled life. Relatives told us staff were kind, friendly and dedicated and knew people's needs and preferences well.

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.

This inspection was carried out on the 19 September 2016 and was announced. As the service was small we gave 48 hours’ notice of our inspection. This was to ensure the registered manager and people who lived at the home were available to speak with.

Care In Safe Hands Healthcare Limited provides care and support to people at Manna Walk. Manna Walk is a registered 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 storey property. It has a fully accessible large garden to the rear.

Manna Walk has a manager who is registered with the Care Quality Commission. 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.

Manna Walk was registered with the Care Quality Commission in July 2015 to provide care and support for up to seven people. We have not previously inspected Manna Walk.

At this inspection visit carried out in September 2016, there were five people living at the home. People we spoke with said they were happy with the care and support they received. People told us staff were caring and were knowledgeable of their individual needs. People described staff as, “friendly” and “good.”

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 Walk ran smoothly.

People who received care and support told us they felt safe. Staff were able to define abuse and the actions to take if they suspected people were being abused.

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 Walk.

There were sufficient staff to meet people's needs. People were supported in a prompt manner and 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. Staff told us they would report any concerns to the registered manager.

We saw people were offered a variety of foods at Manna Walk and people were supported to eat and drink sufficient to meet their needs. People told us they liked the food provided.

People were referred to other health professionals for further advice and support when assessed needs indicated this was appropriate and documentation we viewed reflected this.

Staff treated people with respect and kindness. People told us they were involved in their care planning.

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. People told us they would talk to staff if they had any concerns.

Quality assurance checks were carried out to ensure areas of improvement were identified and acted upon. People who lived at the home were offered the opportunity to participate in an annual survey. This was also provided to relatives. People and relatives told us the registered manager regularly sought their views.