This inspection took place on 19 December 2018 and was announced.

This service is a domiciliary care agency. It provides personal care to adults living in their own homes with physical or mental health needs.

The service registered with the Care Quality Commission on 22 December 2017. This is the first inspection of the service. At the time of the inspection there were four people using the service.

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.

People and their relatives told us they were happy with the care provided, and staff were kind. Staff understood their role in safeguarding adults and were able to tell us what they would do if they had any safeguarding concerns.

Care support plans were detailed, comprehensive and up to date and provided a holistic view of people’s abilities, preferences and needs. Risk assessments were in place to guide staff and minimise harm for all identified risks.

People and their relatives told us there was a stable staff team and that care was provided by familiar carers. There were enough staff to meet people’s needs and people and their relatives told us staff were on time or the office notified family members if staff were running late.

People were supported with medicines by staff who were competent to do so.

The service worked with healthcare professionals to deliver effective care and support to people.

Staff recruitment was safe and staff were supported to meet people’s needs through a combination of comprehensive induction, supervision and training. Staff meetings took place so staff were able to contribute to how the service was run and were kept informed. Staff told us they were well supported in their roles.

People were supported to have 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.

At the time of the inspection the registered manager had carried out a range of audits to check the quality of the care provided, and was working to improve others. The service learnt lessons and made improvements when things went wrong.

There was a complaints process in place and people and their relatives told us they knew how to make a complaint, and that the registered manager would respond to issues they raised.