This inspection took place on 9 and 10 January 2018 and the first day was unannounced. This was the first inspection of this service, which was registered in April 2017.

This service 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 or rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

People using the service lived in two bedroomed apartments in a purpose-built development close to the centre of Wythenshawe. Village 135 is a joint venture between a number of stakeholders, including a community housing group and the local authority. The Human Support Group Limited are contracted to provide care and support for those that need it, along with emergency response responsibilities for everyone living at the village.

Not everyone using The Human Support Group Limited – Village 135, referred to in this report as Human Support Group, receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

There was a registered manager in post at the time of this inspection, who had been in post since the service first registered in April 2017. 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.

Some areas of Village 135 were accessible to the general public. The scheme was a secure environment with doors that required a fob to access areas such as the lift and apartment blocks. People regarded it as a very safe place. Residents were able to move easily between the floors of Village 135.

People were kept safe with the appropriate use of key safes, correct use of electronic call monitoring and the safe administration of medicines. Risk assessments were both generic and person-specific and staff were provided with sufficient information to mitigate risks posed to people.

There were enough staff on duty to help keep people safe. Staff were aware of their responsibilities in relation to infection control and took appropriate measures to minimise the spread of infection.

There was a thorough induction for staff, including undertaking shifts which involved shadowing more experienced colleagues. Staff were competent and knew what they were doing when providing care and support. Staff followed the principles of the Mental Capacity Act 2005 and demonstrated a commitment to promoting the rights and choices of people who used the service.

The registered manager maintained appropriate links with other professionals and partner agencies in order to effect a smooth transition for people moving into the extra care scheme. Staff attended to people in a timely manner in the event of an emergency and were very responsive on these occasions. People were assisted to see a GP and other healthcare professionals when necessary, therefore we were assured that the service promoted the health and wellbeing of everybody living at the village.

Staff never assumed with regard to people’s preferences of care when carrying out their duties and we heard people being offered choices. Care workers knew people well, their preferred routines and other family members who were important to them.

Staff were fully aware of the need to promote dignity and told us they cared for people as they would care for a family member. S