The inspection took place on 11 December 2018 and was announced. We gave Adlington House -Urmston, 24 hours’ notice to advise we would visit, as we needed to ensure someone would be available at the registered office and to gain permission to visit people in their accommodation.

Adlington House - Urmston provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people's personal care and support service. At the time of inspection, 14 people receiving personal care from the provider. This was Adlington House – Urmston, first inspection since their registration with the Care Quality Commission (CQC) in November 2017.

The service had a registered manager. 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.

People felt safe while being supported by the staff team at Adlington House – Urmston. Staff were aware of their responsibilities to report any concerns they had in relation to the protection of vulnerable adults and had full confidence the registered manager would listen to any concerns they had.

Staff were recruited safely and received pre-employment checks ensure they were suitable to work with vulnerable adults.

People had the risks they may face assessed to reduce the risk from occurring. Risk assessments were reviewed monthly or more often if required to ensure they remained factual.

The provider had oversight of the health and safety of the building and completed their own internal checks to ensure peoples safety. Staff received training in infection control and had access to personal protective equipment when carrying out personal care.

People received a thorough pre-assessment of their needs to ensure the service could meet their requirements.

The staff team fully understand mental capacity and we saw and were told, staff always gained consent from people before providing personal care. People told us that staff always informed them of what they were doing. Staff told us they would report any concerns with people’s capacity to the registered manager.

Staff received training appropriate to their job role. Staff found the training to be good and enjoyed learning.

We saw kind and caring interactions between people who used the service and the staff team. People told us they felt well cared for and staff were polite.

People told us that staff were respectful to them they felt involved in their care. We observed friendly joking between staff and people being supported and it was clear staff knew the people they supported well.

Care plans were detailed and clearly recorded people’s needs, preferences and choices. Care plans were regularly reviewed to ensure they remained factual and people were involved in the planning and reviews.

Activities were available in the communal parts of the home. A resident’s association had been set up to raise funds for events and to purchase equipment for the home. People were able to meet others and feel engaged in the management of the building.

People could move their pets into their apartments and be supported to maintain their companionship with their pet.

The registered manager was approachable, and people and the staff team were very complimentary about them.

Audits to monitor and improve the service were regularly completed and actions to improve the service were met in a timely manner.

The staff team received regular supervision an