This inspection took place on 6 September 2018 and was announced.

In March 2017 the provider changed its name and legal entity from London Borough of Enfield to Independence and Wellbeing Enfield Limited. This is the service’s first comprehensive inspection under the new provider registration. Under the previous provider registration the service had been inspected in April 2016 and had been rated ‘Good’.

The Adult Placement Scheme arranges for vulnerable people to live with adult placement carers either on a permanent or short term respite basis or in a crisis situation. People who use the service may have learning/physical disabilities, mental health needs, be older people or young people leaving care. On the day of the inspection there were four people using the service.

Not everyone using the Adult Placement Scheme 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.

A registered manager was in post at the time of this inspection. 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.

The service identified risks associated with people’s health and social care needs. Risk assessments gave clear guidance and direction to carers on how to support people with managing or mitigating any known risks so that people were supported to be safe and free from harm.

One person told us that they felt safe in their current placement. The service had safeguarding policies in place which were followed appropriately where people were at risk of suspected abuse.

Safe medicine management processes in place which ensured people received their medicines as prescribed.

Carers were recruited to offer a placement within their own home for vulnerable adults requiring support. Carers were not technically employed by the service but once assessed as safe and competent, carers were commissioned to provide a placement.

People’s needs and choices were clearly assessed and documented prior to arranging any type of placement to ensure that the person was appropriately matched with a carer that could effectively meet their needs.

Carers received appropriate support in the form of regular supervision, appraisals and training.

The service worked in partnership with a variety of health and social care professionals to ensure that people received a holistic package of care that supported their health, care and emotional support needs.

People had consented to their care and this had been clearly documented within their care plan. Where people were unable to make specific decisions around their care needs this had been recorded and care had been planned with the involvement of relatives or advocates where appropriate in their best interests.

People receiving care and support had been living with their adult placement carer for a number of years and had built positive and caring relationships based on trust and friendship.

Care plans were very detailed and person centred which provided an in-depth picture of the person, their likes and dislikes and how they wished to be supported.

People received care and support that was tailored to their needs and requirements. Alongside the support they received with their personal care, people were also supported to access a variety of social and community activities and services. With this support people were enabled to lead independent lives and integrate with the community and society.

Clear processes were in place for people to complain about any aspect of their care and support. Records confirmed that all complaints were dealt with acco