Our inspection was announced and took place on 19 September 2016. The provider had a 48 hours’ notice that an inspection would take place. This was because we needed to ensure that the registered manager/ provider would be available to answer any questions we had or provide information that we needed.

The provider is registered to deliver personal care. They provided personal care to people who live in their own homes in the community. People may have conditions that include those relating to old age, physical disability, or a learning disability. At the time of our inspection one person used the service. They received care and support from two staff twenty four hours a day, seven days a week.

At our last inspection on 25 January 2016 we found that some improvements were needed to ensure that the person was kept safe this related to staff recruitment, medicine management and the quality monitoring of the service. We found that improvements had been made.

The provider was also the 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 provider had policies in place and staff had received training on procedures they should follow to ensure the risk of harm and/or abuse was prevented. They had also undertaken risk assessments to maintain the safety of people who used the service. Medicine management systems ensured that staff followed good practice so that people would be protected from errors that could cause ill health. Recruitment processes ensured that unsuitable staff would not be employed. Staff were provided in adequate numbers to meet individual needs.

The staff had received the training they required to equip them with the knowledge they needed to support the people in their care. The provider understood the requirements of the Mental Capacity Act (MCA) This ensured that people received care in line with their best interests and would not be unlawfully restricted. People were encouraged to make decisions about their care. If they were unable to, their relatives were involved in how their care was planned and delivered. People were enabled to engage in recreational activities that they enjoyed and met their preferred needs.

A relative felt that the staff were kind and caring. Staff ensured that the person’s privacy, dignity and independence were maintained and promoted.

Complaints systems were in place for people and their relatives to raise their concerns or complaints. Staff and family views on the service were sought. The registered manager/provider had listened and been responsive in improving the service they provided.

The management was open and inclusive. Checks and audits were undertaken to ensure that the service was run in the best interests of the person who used it.

Our inspection was announced and took place on 25 January 2016.

This was the provider’s first inspection since they had been registered with us in November 2012. This was because they [the provider] had only provided care and support to one person for a very short time before this care package. So there would not have been enough evidence for us to make judgements to rate the service.

The provider is registered to deliver personal care. They provided personal care to people who live in their own homes in the community. People may have conditions that include those relating to old age, physical disability, or a learning disability. At the time of our inspection one person used the service. They received care and support twenty four hours a day, seven days a week.

The provider was also the 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.

Medicine management systems did not follow good practice or ensure that people would be protected from errors that could cause ill health.

Recruitment processes did not follow all that was required to ensure that unsuitable staff would not be employed.

The provider had policies in place and staff had received training on procedures they should follow to ensure the risk of harm and/or abuse was prevented. They had also undertaken risk assessments to maintain the safety of people who used the service.

Staff were available to meet individual needs. A relative felt that the staff were good and caring.

The staff had received the training they required to equip them with the knowledge they needed to support the people in their care.

The provider understood the requirements of the Mental Capacity Act (MCA) This ensured that people received care in line with their best interests and would not be unlawfully restricted.

People were encouraged to make decisions about their care. If they were unable to, their relatives were involved in how their care was planned and delivered.

People were enabled to engage in recreational activities that they enjoyed and met their preferred needs.

Complaints systems were in place for people and their relatives to raise their concerns or complaints.

A relative and the staff felt that the quality of service was good.