This inspection was announced and we inspected the agency office on 12 April 2017. We carried out visits to people's homes over the course of a week, concluding on 20 April 2017. This is the first inspection of the service which was registered with the Care Quality Commission in October 2015.

Caringhands@home Limited is a domiciliary care service which provides care and support for people within their own homes. At the time of this inspection the service provided care to nine people.

A registered manager was 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 registered manager is also the registered provider.

People and relatives spoke very highly of all aspects of the service. They told us they felt safe with staff employed by the service. A safeguarding policy was in place and staff we spoke with were aware of their responsibilities in responding to any concerns of a safeguarding nature.

There were enough staff to meet people's needs. People's care was provided by a small team of staff, who knew people and their needs well. Processes were in place to ensure any staff absences could be covered so people still received their scheduled visits. Robust recruitment procedures had been followed.

Staff had undertaken training in a range of subjects through both online e-learning and face to face practical training. At the time of the inspection there were some gaps in staff training, but the registered manager showed us evidence this training had been booked for staff to attend shortly after our inspection. The registered manager was developing a training matrix to ensure staff skills and knowledge remained up to date.

Staff had received training in the administration of medicines. We noted some records did not include specific information about how to support people with their medicines, and have made a recommendation about this.

Care Quality Commission (CQC) is required by law to monitor the application of the Mental Capacity Act 2005 (MCA), and to report on what we find. MCA is a law that protects and supports people who do not have the ability to make their own decisions and to ensure decisions are made in their 'best interests'. We found the provider was complying with their legal requirements.

People we spoke with told us they were happy with the care they received. They told us care was planned around their choices and that staff were kind and respectful. People and relatives told us staff went out of their way to provide the best service they could.

People's needs had been assessed and care had been planned to meet those needs. We noted the level of detail in care plans was varied, however staff we spoke with were very knowledgeable about people and the care they required.

People were encouraged to share their feedback. The registered manager visited people to carry out reviews, 'spot checks' on staff conduct, and to provide care. People were also regularly asked to complete surveys which were themed around specific parts of their care delivery. We saw positive responses had been received to the most recent survey.

The service had not received any complaints since it had been operating. People we spoke with told us they would not hesitate in sharing any concerns, but that they were very satisfied with the service.

A range of checks were carried out to monitor the quality of the service. They had not highlighted the variance in details in care records, and have made a recommendation about this.

People and their relative's told us the service was managed very well. Staff told us they felt listened to and valued. Staff meetings were held regularly. The registered manager shared with us their vision for the cultur