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MacIntyre Greater Manchester Good

Inspection Summary


Overall summary & rating

Good

Updated 22 October 2019

About the service

MacIntyre Greater Manchester provides a supported living service to people living in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection the service provided a supported living service where personal care was provided to three people in three individual homes.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered managers at this inspection. This considered whether the service used any restrictive intervention (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were protected from the risk of abuse. Risks were well managed and detailed records were kept of care and support provided. Medicines were managed safely. Safe systems of staff recruitment were in place. There was continuity of care because people were supported by staff who knew them well.

There were sufficient staff to meet people’s needs and staff received the induction, training and support they needed to carry out their roles. People's nutritional needs were met. Staff worked proactively to plan how people could access health care in a way that suited their needs.

Staff and the registered managers knew people well. People told us staff were gentle, kind and friendly. Staff spoke about people with fondness, compassion and a genuine pride in the achievements people who used the service had made.

Care records, including positive behaviour support (PBS) plans, were detailed and person centred. Activities were based on people's individual interests, hobbies and wishes. People's routines, preferences and individual communication styles and methods were identified and respected.

People were positive about the registered managers and the way the service was run and organised. The registered managers were enthusiastic and shared a passionate commitment to providing responsive, person centred, individualised support to people. Staff were highly motivated and shared this enthusiasm, commit

Inspection areas

Safe

Good

Updated 22 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 22 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 22 October 2019

The service was well-led.

Details are in our well-Led findings below.