This inspection took place on 28 August 2018. Berean Healthcare and Training Agency is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a personal service to both older adults and younger disabled adults. At the time of this inspection the service was providing personal care to one person during weekends. Therefore, we were not able to rate the service against the characteristics of inadequate, requires improvement, good and outstanding. This was the first inspection of the service since they registered in November 2016.

The service had a registered manager in post. 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 was aware of their CQC registration requirements including submitting notifications of significant incidents.

Risk assessments were in place and detailed actions to reduce identified risks to people to keep them safe. Staff had received safeguarding training and understood how to recognise signs of abuse and how to protect people from the risk of abuse. Staff supported people to take and manage their medicines in a safe way.

The service carried out recruitment checks to ensure staff employed to work with people were suitable to do so. There were sufficient numbers of staff available to support people. Staff knew how to report incidents and accidents. Staff followed infection control procedures to reduce the risk of infection and contamination.

The service assessed the needs of people and delivered care and support to meet people’s individual needs and preferences. People and their relatives were involved in planning and reviewing their care. People were supported to eat and drink appropriately and to meet their dietary and nutritional requirements.

Staff supported people to access healthcare services where required and staff worked in collaboration with other agencies to ensure people’s needs were met. Staff were supported through induction, supervision and training to provide appropriate care to people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People consented to their care before it was delivered. Staff and the provider understood their responsibilities within the Mental Capacity Act 2005.

Relatives told us staff treated their loved one with kindness, compassion and respect. People’s dignity and privacy was respected by staff. The registered manager told us they had completed training in end-of-life care and were able to provide this service if people needed it.

Relatives knew how to raise their concerns and complaints about the service. The provider had improved the way they audited the service. Relatives and staff told us that the registered manager listened and acted on their views about the service. Staff received the direction and guidance to do their jobs. The provider worked in partnership with other organisations to meet the needs of people.