We conducted this comprehensive inspection on 29 August 2018.

Apex Prime Care Havant provides a range of services to people in their own home including personal care. People using the service had a range of needs such as learning and/or physical disabilities and dementia. At the time of our inspection 152 people were receiving personal care in their own homes.

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. The registered manager had delegated the responsibility of managing the service to the deputy manager. It was their intention to apply to become the registered manager of the service.

The provider failed to notify CQC of allegations of possible abuse.

We could not be assured people consistently received their medicines because records were not always completed.

Governance systems were not always effective in monitoring the quality of care provided.

People told us they were safe.

Care workers underwent appropriate recruitment checks before they started to work at the service.

Sufficient staff were deployed to meet people’s needs.

Care plans were detailed and person-centred.

People had their needs assessed across a wide range of areas and care plans included guidance about meeting these needs.

Care workers understood the Mental Capacity Act 2005 (MCA). The service was aware of the need to assess people's capacity to make specific decisions. Care workers were supported to have the skills and knowledge to carry out their role. They had received an induction and essential training. People were supported to have sufficient amounts to eat and drink.

Care workers told us that the registered manager and the deputy manager were supportive.

Staff received regular supervisions and appraisal. Spot checks were also a regular occurrence to monitor performance.

People who used the service told us that staff were kind and caring.

People and their relatives were involved in their care.

Care workers knew people well and could describe to us how people liked to be supported.

There was a complaints procedure which people and their relatives were aware of.

People felt they would be listened to if they needed to complain or raise concerns.

The Accessible Information standard was understood by the management team.

The registered manager and the deputy manager were knowledgeable about issues and priorities relating to the quality and future of the service.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and one breach of the Care Quality Commissions (Registration) Regulations 2009. You can see what action we told the provider to take at the back of the full version of the report.