This inspection took place on 30 November 2018 and 5 December 2018 and was unannounced. This meant the staff did not know we would be visiting.

Manor Park is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to support 14 adults who have mental health related needs and/or a learning disability. At the time of our inspection there were eight people living at Manor Park.

This care service was making good progress towards developing the service to be in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary life as any citizen.

In January 2018, the provider re-registered under a new name, Renal Health Limited. However, the owners have remained the same. Under their previous name, Turnberry Services Limited, the service was rated good and at this inspection the service maintained their good rating.

The service had two registered managers. 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. One registered manager was present during our inspection.

The management team had a long employment history of working with people with mental health related conditions and/or a learning disability. They were well established in their roles having known some of the people who used the service for some time. There had recently been some changes to the staff team and structure which people, a relative and staff told us had been positive. Staff told us they enjoyed working at Manor Park and felt valued by their managers.

People felt safe living at Manor Park with the support from the staff. Accidents and incidents, including safeguarding matters were recorded, investigated and reported in a timely manner to the local authority or CQC as necessary. A registered manager analysed and monitored these to review people’s care needs, risk assessments and to update risk management plans.

Risks associated with the health, safety and well-being of people were well managed. Individual care needs had been assessed for risks related to daily living. We saw these were regularly reviewed. The provider ensured regular checks of the property, equipment and utilities were carried out in line with their legal responsibilities as the landlord.

Medicines were managed safely and in line with best practice guidance. Medicine administration records were orderly, detailed and up to date. Medicines were stored in a safe and secure place. Staff followed a medicine policy and procedures regarding the safe receipt, storage, administration, recording and disposal of medicines.

There were enough staff employed to meet people’s needs; people and a relative confirmed this. Staff were recruited safely and recruitment processes were strong. Staff training was up to date, and the team had a mix of skills, knowledge and experience. Staff had opportunities to enhance their skills and knowledge and all were qualified in health and social care.

The registered managers supported staff through supervision and appraisals which were held regularly and recorded. Competency checks were carried out to ensure staff remained competent in their role.

Staff and ‘resident’ meetings took place and we reviewed the minutes of previous meetings. We saw people and staff had an opportunity to raise any issues with the management team.

People were supported to have maximum choice a