Manu Integrity Services Limited

Updated 4 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This service is a domiciliary care agency. It provides personal care to people living in their homes. The service provides support to people in their own homes who need additional support to meet their needs. This may include people with a learning disability, physical disability, mental health needs, and drug and alcohol addiction.

The inspection took place on 27 February and 5 March 2018 and was announced. The inspection team consisted of two adult social care inspectors. The registered provider was given 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we needed to be sure the registered manager, some staff and some people who received support would be available to meet and speak with us.

Prior to the inspection we reviewed the information we held about the service, which included correspondence we had received and any notifications submitted to us by the service. A notification must be sent to the Care Quality Commission every time a significant incident has taken place. For example, where a person who uses the service suffers a serious injury. We took this into account when we inspected the service and made the judgements in this report.

We contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. They told us they had no current feedback about the service.

During the inspection we visited three people at home with their relatives to gain their views on the service they received. We spoke with the director, the registered manager and three care workers.

We reviewed a range of records relating to how the service was managed. These included care records for three people and other records relating to the management of the domiciliary care agency.

Updated 4 April 2018

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.