Our inspection of Allfor Care took place on 28 June 2017 and was announced. 48 hours’ notice of the inspection was given because staff members may be out of the office undertaking assessments or reviewing care in people’s homes. We needed to be sure that someone would be available when the inspection took place.

Allfor Care is a domiciliary care service based in Kingsbury that provides a range of support to adults and young people living in their own homes. At the time of our inspection the service provided care and support to 26 people. The majority of these were older people living with dementia and physical conditions associated with ageing. The service also supported younger people with physical and mental health conditions and learning disabilities.

The current location Allfor Care was re-registered with The Care Quality Commission on 8 July 2016 due to a change of address. This was their first inspection under their new registration.

The service had a registered manager. 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

People who used the service told us that they were satisfied with the care that was provided to them. The staff memberswe spoke with also talked positively about the people who they supported.

People were protected from the risk of abuse. Staff members demonstrated that they understood how to safeguard the people whom they were supporting. Safeguarding training had been provided to staff and records of safeguarding concerns showed that the service had taken appropriate actions to address these.

Risk assessments for people were regularly reviewed and amended where there were changes in their needs. These contained guidance for staff members on how to manage risks.

the service had arrangements in place to ensure that people’s medicines were given and recorded. Staff members had received training in safe administration of medicines.

Staff recruitment processes were in place to ensure that workers employed by the service were suitable and of good character. Staff training met national standards for staff working in social care organisations and additional training had been provided to ensure that people’s individual needs were met.

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Staffing rotas were designed to ensure that there were enough staff on duty to meet the current support needs of people using the service and people said that they were supported by staff that they knew. There was an electronic system for ensuring that care calls were managed and monitored. Staff and people who used the service had access to management support outside of office hours.

The service was meeting the requirements of the Mental Capacity Act 2005. Capacity assessments were in place for people. People were asked for their consent to any care or support that was provided.

People’s care plans showed that religious, cultural and other needs and preferences were supported. People told us that staff members respected their wishes and treated them with dignity and respect. Care plans included information about people’s communication needs along with guidance for staff on supporting people to make decisions about their care.

People who used the service told us that they knew what to do if they had a concern or complaint. We saw that complaints that had been received by the service had been investigated and resolved to people’s satisfaction.

People who used the service and staff members spoke positively about its management. A range of processes were in place to monitor the quality of the service, such as audits and spot checks of care practice and documents, along with surveys of people’s satisfaction with their care and support.