The inspection was carried out on 9 and 10 February 2017, and was an announced inspection. The provider was given 48 hours' notice of the inspection, as we needed to be sure that the office was open and staff would be available to speak with us.

Adlington House provides onsite support and care to people in their own homes. They are a domiciliary care service and provide assistance with bathing, dressing, meal preparation and medicines.

At the time of the inspection, the service was providing personal care to nine people. There was a registered manager at the service. 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 and associated Regulations about how the service is run.

The service had suitable processes in place to safeguard people from different forms of abuse. Staff had been trained in safeguarding people and in the service had a whistleblowing policy in place. Staff felt confident that they could raise any matters of concern with the registered manager, or the local authority safeguarding team.

The service provided sufficient numbers of staff to meet people's needs and provide a flexible service. The registered manager carried out risk assessments when they visited people for the first time. Other assessments identified people's specific health and care needs, their mental health needs, medicines management, and any equipment needed.

Care was planned and agreed between the service and the individual person concerned. People were supported by their family members to discuss their care needs, if this was their choice to do so.

There were effective recruitment practices in place. Applicants were assessed as suitable for their job roles. Refresher training was provided at regular intervals. All staff received induction training at start of their employment.

People were supported with meal planning, preparation, eating, and drinking if required. Staff supported people, by contacting the office to alert the registered manager to any identified health needs so that their doctor or nurse could be informed.

People said that they knew they could contact the registered manager at any time, and they felt confident about raising any concerns or other issues. The registered manager carried out spot checks to assess care staff's work and procedures, with people's prior agreement. This enabled people to get to know the registered manager.

The service had processes in place to monitor the delivery of the service. As well as talking to the registered manager at spot checks, people could phone the office at any time. People said that they knew they could contact the provider at any time, and they felt confident about raising any concerns or other issues. People spoke positively about the way the service was run.

The management team and staff understood their respective roles and responsibilities. Staff told us that the registered manager was very approachable and understanding.