We carried out an announced inspection on 7 March 2017. Caremax Home Care Services Ltd is a domiciliary care service and is registered to provide personal care to people in their own homes. On the day of our inspection, there were 35 people using the service and 28 staff supporting them.

There was a registered manager in place. 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 service had appropriate systems in place to protect people from harm and uphold their rights. Staff had the knowledge, understanding and up to date training in safeguarding adults from abuse and supporting people with limited capacity to make their own decisions.

People’s medicines were given to them safely and in a timely way and risks to people’s health and wellbeing were appropriately assessed, managed and reviewed.

There were sufficient numbers of staff available to meet people’s needs. A recruitment process was in place to protect people and staff had been employed safely with the right skills and knowledge to provide care and support to people.

People were assisted with the preparation of meals of their choosing which met their nutritional needs. They were treated with kindness and respect by staff and their dignity was maintained. Staff understood people’s needs and provided care and support accordingly. Caring relationships had been developed and people were fully involved in their care arrangements.

Quality assurance arrangements were in place and record keeping was comprehensive and robust. There was a system for responding to complaints and concerns. The visible leadership of the service showed that person centred care was being delivered to people who used the service.