This inspection took place on 4 January 2017 and was announced. Carers 4 U Ltd is a domiciliary care agency that provides personal care and support for people living in their own homes. At our last inspection of the service on 19 and 21 January 2016 we found a breach of legal requirements because the provider did not always keep up to date records of staff supervision sessions or annual appraisals.

At this inspection we found that the provider had taken action to make sure that records relating to staff supervisions and annual appraisals were kept up to date.

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 and associated Regulations about how the service is run.

People said they felt safe and staff treated them well. The service had appropriate safeguarding adults procedures in place and staff had a clear understanding of these procedures. There was a whistle-blowing procedure available and staff said they would use it if they needed to. Procedures were in place to support people where risks to their health and welfare had been identified. Appropriate recruitment checks took place before staff started work. People’s medicines were managed appropriately and people received their medicines as prescribed by healthcare professionals.

The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. Staff had completed an induction when they started work and they had received training relevant to the needs of people using the service. People’s care files included assessments relating to their dietary support needs. People had access to health care professionals when they needed them.

People were provided with appropriate information about the service. People and their relatives said staff were kind and caring and their privacy and dignity was respected. They had been consulted about their care and support needs and care plans were in place that provided information for staff on how to support people to meet their needs. People were aware of the complaints procedure and said they were confident their complaints would be listened to, investigated and action taken if necessary.

The provider recognised the importance of monitoring the quality of the service provided to people. They took into account the views of people using the service through satisfaction surveys. The provider carried out unannounced spot checks to make sure people were supported in line with their plans of care. Staff said they enjoyed working at the service and they received good support from the registered manager and care coordinators.

This inspection took place on 19 and 21 January 2016 and was announced. This was our first inspection at Carers 4 U Ltd. Carers 4 U Ltd is a domiciliary care agency that provides personal care and support for people living in their own homes. At the time of this inspection Carers 4 U Ltd was providing personal care to 23 people.

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 and associated Regulations about how the service is run.

A breach of legal requirements was identified. The provider did not always keep up to date records of the staff supervision sessions or annual appraisals. You can see the action we have asked the provider to take at the back of the full version of the report.

The provider did not have a call monitoring system in place that ensured staff turned up to support people or stayed for the allotted time to provide care. We saw the manager and a care coordinator contacting people using the service and staff throughout the course of our inspection, making sure people received care when they were supposed to. The provider was currently looking at the different call monitoring systems available with a view of adopting a call monitoring system for the service. We were not able to assess the impact of the lack of a call monitoring system on people's care as the system was not in place at the time of inspection. We will assess this at our next inspection of the service.

People said they felt safe and staff treated them well. The service had appropriate safeguarding adults procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work. Where appropriate people were supported to take their medicines as prescribed by health care professionals. There was a whistle-blowing procedure available and staff said they would use it if they needed to.

The manager had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. Staff had completed an induction when they started work and they were up to date with their training. People’s care files included assessments relating to their dietary support needs. People had access to health care professionals when they needed them.

People had been consulted about their care and support needs. Care plans and risk assessments provided information for staff on how to support people to meet their needs. People were aware of the complaints procedure and said they were confident their complaints would be listened to, investigated and action taken if necessary.

The provider took into account the views of people using the service through satisfaction surveys. The provider carried out unannounced spot checks to make sure people were supported in line with their care plans. Staff said they enjoyed working at the service and they received good support from the manager. They said there was an out of hours on call system in operation that ensured management support and advice was always available when they needed it.