This was an announced inspection carried out on the 14 September 2017.

Border Care Ltd is an agency that provides a domiciliary service to people in their own homes, who live in North in Herefordshire and Powys. At the time of our inspection visit, there were nine people using the service.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 provider had first registered with the Care Quality Commission in January 2017, and had therefore not been previously inspected.

People told us they felt safe with the way staff supported them in their home. They also felt safe with staff coming into their own homes, who they described as completely trustworthy.

People told us there was sufficient numbers of staff to meet their needs safely and reliably.

Risks to people's safety and well-being had been assessed and guidance was in place for staff to follow to minimise any risks.

People told us they were happy with the support they received with their medicines. Where people received medicines, they told us they received them on time and when they should be taken.

People told us they felt care staff had the skills required to support them effectively. Staff told us the training they received was relevant to their roles in supporting people. Staff told us they received regular supervision and support, which also involved one to one sessions with the registered manager.

People were supported by staff who respected their privacy and dignity. Staff understood the importance of helping people to be as independent as possible, so that they could live safely in their own homes.

People told us they were involved in their own care. They felt listened to by staff on how they wanted their care and support provided. People told us they received care and support from staff that met their needs and personal preferences.

People told us the service was well-run and reliable and found the provider and staff team approachable and ready to listen. The provider had clear visions and values that were person-centred and that ensured people, including staff, were at the heart of everything they did.