This inspection took place on the 31 July and 1 August 2017 and was announced. All Aspects Home Care provides personal care for people living in their own homes. At the time of our inspection there were 21 people receiving personal care.

There was a registered manager in post who was also the provider of 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 2008 and associated Regulations about how the service is run.

The systems used to assess and improve the quality of care provided to people required strengthening. The provider had not used a systematic approach to quality assurance which meant that there was a risk in any potential shortfalls in the quality of the service failing to be recognised or resolved in a timely manner.

Risks to people had been assessed and action had been taken to mitigate the known risks to people. Staff were aware of how to keep people safe and provided care in a way that maintained people’s safety. People could be assured that they would receive their prescribed medicines and that there were sufficient numbers of staff available to provide their commissioned care. Robust recruitment practices were in place to ensure that only staff who were of a suitable character provided people’s care.

Staff had received the support, supervision and on-going training and professional development that they required to provide effective care to people. People’s consent in relation to their care was actively sought by staff. People were supported to maintain adequate nutrition and their health was monitored closely by staff that knew them well. Any changes in people’s health were referred promptly to healthcare professionals.

People were supported by a stable staff team that were committed to providing consistent person centred care and support. People had developed positive therapeutic relationship with the staff that supported them.

People had detailed plans of care in place that were reflective of their care needs and supported staff in providing the care that people needed. Feedback from people was actively sought and used to aid the on-going development of the service.

The provider was committed to supported people in a person centred manner and was visible, accessible and approachable. The provider was a visible role model for staff.