This inspection took place on 1 August 2017 and was announced.

This service provides care to people living in their own homes and there were 40 people receiving personal care when we inspected. At the last inspection, in August 2015, the service was rated Good overall. At this inspection we found that the service remained good overall.

There was no a registered manager in post; however the current manager has submitted an application to us to become 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 and associated Regulations about how the service is run.

People felt safe when receiving care from the staff and received care from staff that protected them from the risk of potential abuse. People were support to remain safe and had their individual risks recorded and reviewed. The plans in place showed staff how to keep each person's risks lower and prevent risk of harm or injury. People who had support with their medicines had them administered when needed, with staff that were trained and competent to do so.

Staff received regular training and talked to us about their knowledge and their roles and responsibilities. Their skills, knowledge and experience supported people with their care needs. 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 told us they arranged healthcare appointments as required and that staff were helpful in making telephone calls and providing reminders of appointments.

People had a personalised service in their home from staff they knew. People received care that met their needs and were able to direct staff about the specific care on each call. People’s dignity had been supported and staff were respectful of people’s human rights.

People’s views and decisions been recorded in their care plans, which had been regularly reviewed and changed when needed. People had the information in their home about how to make a complaint should they wish to raise a complaint.

People received regular contact from the management team to ask about the standard of care and they were always able to talk with them about any concerns if needed. Staff spoke with the manager and provided feedback on the service. The manager told us they kept their knowledge current and provided staff with input and direction about the levels of care they expected with regular meetings and supervisions. The management team monitored the quality of the care that people received, that included reviewing records and observing staff practices.

This inspection took place on 18 August 2015 and was announced.

Caremark (Wychavon &Wyre Forest) provides personal care for people in their own home. There were 26 people using the service when we inspected and there was 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 and associated Regulations about how the service is run.

People were protected from the risk of potential abuse and told us they felt safe when the staff visited. People had their individual risks looked at and had plans in place to manage them. There were enough staff employed to meet people’s needs and changes to call times as requested by the person who used the service or their relatives. People looked after their own medicines; however staff would remind them when they were there.

Staff received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care and support needs.

Staff knew the people they were supporting and provided a personalised service. Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. People’s meals were prepared where needed and they got the meals they enjoyed or chose. People told us they got healthcare appointments as required to meet their needs.

People’s consent was appropriately obtained by staff when caring for them and people who could not make decisions for themselves were supported by representatives or family members.

People received care from staff that spent time chatting while providing care and getting to know them. People felt the care they had received met their needs. They were also supported in maintaining their dignity and encouraged to be involved in their care needs where able.

The registered manager was accessible and approachable. People, their family members and staff felt able to speak with the management team and provide feedback on the service. The management team had kept their knowledge current and they led by example. The provider ensured regular checks were completed to monitor the quality of the care that people received and looked at where improvements may be needed.