The inspection took place on 07 and 14 January 2019. The inspection was announced.

This service is a domiciliary care agency. Adejom Staffing Care is a care agency that provides care services to people in their own homes. Not everyone using the service receives a regulated activity of 'personal care.' CQC only inspects the service being received by people provided with ‘personal care’. At the time of inspection, one person was receiving personal care at home.

There was a registered manager employed at the service. A registered manager is a person who has registered with CQC 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. The registered manager was also the registered provider at the service.

The registered manager held a professional nursing qualification and was registered to practice with the Nursing and Midwifery Council (NMC). They worked alongside their staff to deliver care. The registered manager had an in depth knowledge of how the service was running and got to know people and staff very well.

The registered manager checked staffs' suitability to deliver personal care during the recruitment process. Staff were deployed in line with the agreed times needed to meet the persons assessed needs. Staff received training and supervision and continued to be that matched to people’s needs effectively.

Staff received training about safeguarding and understood their responsibilities to protect people from harm. Staff were encouraged and supported to raise concerns by the registered manager and by the services safeguarding policies, such as whistleblowing. Emergency response contingency plans were in place to limit disruption to care during times of foreseeable events such as extreme weather events.

The person using the service verbally communicated their needs to staff. However, the registered manager was aware of the Accessible Information Standard (AIS) and its requirements to make information available to people in different formats if and when needed.

The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA).

People’s needs were assessed and their needs were recorded. Staff understood the risks to people’s individual health and wellbeing and risks were clearly recorded in their care plans.

Staff received food hygiene training. Where staff supported people with cooking, this was done in liaison with people and their relatives who lived with them.

People, their relatives and health care professionals had the opportunity to share their views about the service.

There were appropriate systems in place to enable people to make complaints. Incidents and accidents were reported and appropriately investigated.

Staff were friendly and caring. Staff consistently demonstrated they shared the provider's vision and values when delivering care.

Staff followed the provider's infection control policy. This had been recorded by the registered manager when they carried out observations on staff.

Staff were not administering medicine at the time of this inspection. However, there was a medicines administration policy that followed published guidance. Staff had been trained to administer medicines. The registered manager had systems ready for the audit of staff administered medicines if needed.

The service was not providing end of life care. However, policies were in place to cover end of life care if needed.

There was no evidence that any notifiable incidents had happened at this service. However, the registered manager understood their responsibility to send statutory notifications to CQC when required.