CQC report explained · a residential care home
What the CQC found at Manna Walk
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2019
Rated Good; inspectors found safe, kind and personalised care, with some audit actions identified.
The inspection took place on 4 March 2019 and was announced 48 hours beforehand. One inspector spoke with one person, three relatives and staff. They reviewed care records, staff files, audits and other records.
The home was supporting seven adults with learning disabilities. Inspectors found people were safe, treated with kindness and supported by staff who understood their needs, routines and preferences. Relatives gave consistently positive feedback.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection, published in October 2016, was also rated Good.
Consistent staff
The home did not use agency staff. Absences were covered by permanent staff, helping people receive support from workers who knew them.
“The service did not use agency staff, any sickness or absences were covered by permanent members of staff.” from the report
Kind and personalised care
Relatives spoke positively about staff, who knew people's needs and preferences. A key worker system helped build relationships and tailor support.
“The service operated a 'key worker system.' Staff were matched with people they supported based on their personalities, shared characteristics and interests.” from the report
Support for choice and independence
People were supported to make everyday decisions, use the community and take part in activities, holidays and therapies.
“People were afforded choice and control in their day to day lives.” from the report
Learning from incidents
The manager reviewed incidents and accidents for patterns. This led to changes, including replacing flooring after repeated falls in one person's room.
“For example, this system helped identify that one person had repeated falls in their room, the flooring was replaced and the person stopped falling.” from the report
Actions from audits
minorInspectors said the audits identified actions needed to achieve full compliance with the provider's objectives and regulations. The report does not explain which actions these were.
“Audits we looked at identified actions required to ensure full compliance with the provider's objectives and regulations.” from the report
- 01What actions did the audits identify, and have all of them now been completed?
- 02How would you support my relative's particular communication needs, including use of Makaton or picture cards if needed?
- 03How do you provide one-to-one support for community activities and healthcare appointments?
- 04How would you involve my relative in decisions if they could not communicate verbally or lacked capacity for a particular decision?
- 05How do you make sure permanent staff continue to cover sickness and other absences?
This was an announced inspection covering all five key questions and the overall quality and safety of the service. This explanation was written from the published report of 3 April 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2016
Manna Walk was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
This was an announced inspection on 19 September 2016. Inspectors spoke with three people living at the home, three staff, managers and two relatives. They looked around the home and checked care records, medicines, staff files, training and management records.
The inspectors found that people were safe and received their medicines as prescribed. There were enough staff, suitable recruitment checks and risk assessments. Staff were trained and supported, and people were helped to access food, healthcare and activities that suited them.
People described staff as friendly, respectful and caring. They were involved in their care plans and could make choices. The home had a complaints process and quality checks. This was the first inspection, and all five areas were rated Good.
Safe medicines
Inspectors checked medicines and found that records matched stock levels and medicines were being administered correctly.
“We found medicines were managed safely and people received their medicines as prescribed.” from the report
Kind and respectful staff
People and relatives praised the staff. Inspectors observed patient and respectful interactions, with people's privacy and dignity protected.
“Staff treated people with respect and kindness. People told us they were involved in their care planning.” from the report
Personalised activities
People were supported to follow their interests, attend day services and support groups, and take part in trips and social events.
“People were able to participate in activities that were meaningful to them.” from the report
People's views were heard
People could attend meetings, use advocacy support and give feedback through surveys. The report describes requests being acted on.
“This demonstrated there were systems in place to capture peoples' views, seek improvements and encourage involvement.” from the report
Good staff support
Staff received induction, ongoing training, supervision and appraisals. Inspectors found staff had the knowledge needed to support people.
“Staff told us they received additional training.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are now available on each shift, and has the recruitment mentioned in the report been completed?
- 02How are care plans reviewed when a person's needs, wishes or activities change?
- 03How are medicines checked now, and what happens if a medicines error is found?
- 04What activities, trips and community opportunities are currently available to residents?
- 05How can residents and relatives raise a complaint, and how are complaints recorded and followed up?
This was the home's first planned inspection and covered all five key questions, with an overall rating and a rating for each area. This explanation was written from the published report of 26 October 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Manna Walk
2 rated inspections over 2 years: the service has held its Good rating throughout.
- April 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015
Registered with the Care Quality Commission on 30 July 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
38 live-in carers within about an hour of Sefton
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,270 a week. 34 can care for a couple. 11 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.