This inspection took place on 27 February and 5 March 2018. The inspection was announced. This meant the registered provider was given 48 hours' notice of our inspection visit. This was because the location provides a small domiciliary care service and we needed to be sure that someone would be available to meet with us. This was our first inspection of the service.

Manu Integrity is registered to provide personal care to adults with learning disabilities, physical disability, mental health needs, drug and alcohol addiction and older people in their own homes and community.

Not everyone using Manu Integrity receives the regulated activity, personal care. Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; which is help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection Manu Integrity were supporting five people with the regulated activity.

There was a manager at the service who was registered with CQC. A registered manager is a person who has registered with CQC 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 and associated Regulations about how the service is run.

People and their relatives were overwhelmingly positive about the service. There were systems in place to protect people from harm, including how medicines were managed. Staff were trained in how to recognise and respond to abuse and understood their responsibility to report any concerns to the management team.

Safe recruitment processes were followed and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people.

People were supported in a kind, caring way that took account of their individual needs and preferences. People and their families were supported to express their views and be involved in decisions about their care.

People who used the service had the capacity to make decisions about what they did and the choices they made. People were supported to have choice and control of their lives and staff supported people in the least restrictive way possible: the policies and systems supported this practice.

Staff were supported to provide appropriate care to people because they were trained, supervised and appraised. There was an induction, training and development programme, which supported staff to gain relevant knowledge and skills.

People were supported to maintain their health by being supported to access a range of health care professionals.

People were able to raise any concerns they may have had. We saw the service user guide included ‘how to make a complaint’.

People were encouraged to give their views about the quality of the care provided to help drive up standards. Quality monitoring systems were in place and the registered manager had overall responsibility to ensure lessons were learned and action was taken to continuously improve the service.