Our inspection was announced and took place on 12 September 2016.

This was our first inspection of this service since it had been registered with us in 2014.

The provider is registered to provide personal care and support to adults who had a range of disabilities. People who used the service would receive their support and care in their own homes within the community. One person was receiving personal care and support.

The manager was registered with us as is required by law and was present on the day. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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 provider had processes in place that they and staff followed to prevent people experiencing any mistreatment or abuse. Risk assessments were undertaken and staff knew of the actions they needed to take to keep people safe and minimise any potential risk of accident and injury. Staffing ensured that people received a consistent service from staff who they were familiar with, knew of people’s individual circumstances and could meet their needs. People were supported to take their medicines as they had been prescribed by their doctor.

Staff received induction training and the support they needed that ensured that they did their job safely and provided support in the way that people preferred. Staff training records showed and staff confirmed that they had received the training they required to meet people’s needs and to keep them safe. People were enabled to make decisions about their care and they and their families were involved in how their care was planned and delivered. Staff understood that people have the right to refuse care and that they should not be unlawfully restricted. Staff supported people to have drinks and meals that they enjoyed.

People were cared for and supported by, staff who were kind and caring. Staff supported people to be as independent as possible. People were encouraged and supported to undertake daily tasks and attend to their own personal hygiene needs.

The service was responsive to people’s changing needs and requests. Complaints processes were in place for people and their relatives to access if they were dissatisfied with any aspect of the service provision.

Relatives and staff had confidence in the management team and the service. Processes were in place to monitor the service, by visit checks to the person’s home and undertaking audits, to ensure that it was run in the best interests of the people who used it.