About the service:

BNR Manchester provides domiciliary services to people living in their own homes and supported living services to people with learning disabilities, autism and complex physical health needs so that they can live as independently as possible in their own homes. People who use the service are tenants in their own right and live with support in various types of accommodation provided by different landlords, or in their own family accommodation.

At the time of the inspection the service was made up of two homes, providing support for four people who live in the Wirral area and who require 24-hour support. The head office is based at the Express Networks building in Manchester.

People’s experience of using this service:

There was a warm and relaxed atmosphere in the properties we visited; a thorough pre-assessment process was undertaken to ensure people who lived in the same property were compatible and transition visits were undertaken prior to people moving in.

People participated in activities that met their individual choices and preferences. People’s independence was promoted, which was confirmed by people we spoke with.

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

People's health needs were well managed and staff had positive links with professionals which promoted wellbeing for people. People were supported to attend their health appointments.

Equality and diversity was promoted and responded to well, and there was no evidence to suggest anyone was discriminated against.

The service supported staff in providing effective care for people through detailed person-centred care planning and people were involved in regular reviews of their care plans.

Staff showed a genuine motivation to deliver care in a person-centred way based on people's preferences and likes and people were observed to have good relationships with the staff team.

The service worked in partnership with the community, other services and organisations. We saw people had multi-disciplinary team meetings to discuss their needs and wishes. People had links with other organisations to access services, such as adult learning courses.

People were encouraged to share their views about what they wanted to achieve and their support was built around these goals to help them achieve them.

People using the service and staff knew each other well and efforts were made by the service to ensure people were supported by the same staff to ensure familiarity and continuity of care provision.

The service met the characteristics of Good in all areas; more information is in the full report.

Rating at last inspection:

The service has not previously been inspected and this was the first inspection undertaken at BNR Manchester since it first registered with the Commission on 03 August 2016.

Why we inspected:

This was an announced, planned comprehensive inspection. The provider was given 48 hours’ notice to ensure managers were available in the Manchester office to facilitate the inspection.

Follow up:

We will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good.