Casbrook Home Care is a domiciliary care service providing care and support to people living in their own homes. The office is located in Romsey, Hampshire and the service currently provides care and support to people living in the surrounding area. At the time of our inspection Casbrook Home Care provided 677 hours of care to 80 people living in the community.

The inspection took place on the 27, 28 and 29 September 2016 and was announced.

The service had a 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.

People told us they felt safe and were confident in the staff that provided their care and supported them.

People were safe because staff understood their role and responsibilities to keep them safe from harm.

Staff had a good knowledge of the provider’s whistleblowing policy and procedures which meant they were able to raise concerns to protect people from unsafe care.

Recruitment processes were robust to make sure people were cared for by suitable staff. There were sufficient numbers of staff deployed to meet people’s needs.

People were supported by staff who received regular training, support and supervision to help them provide effective care.

Staff understood the requirements of the Mental Capacity Act 2005 and their responsibilities to ensure that people who were unable to make their own decisions about their care and support were protected.

People had good relationships with the staff and were treated with dignity and respect.

There were systems in place to monitor the care provided and people’s views and opinions were sought regularly.

Casbrook Home Care is a domiciliary care service providing care and support to people living in their own homes. The office is located in Romsey and the service currently provides care and support to people living in the surrounding area. At the time of our inspection there were 94 people using the service.

The service had a registered manager. This 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.

Staff had not received all of the training relevant to their role. Despite describing itself as a service providing support for people living with dementia only five staff from a compliment of 36 had undergone training in this area.

The provider did not have systems or processes in place to monitor and evaluate the quality of service being delivered to people using the service.

People told us they felt safe using the service. They said their care workers identified themselves on arrival and this made them feel safe. All staff had received safeguarding training and knew what to do if they had concerns about the well-being of any of the people using the service.

Staff were safely recruited to help ensure they were fit to work with people who use care services.

Staff supported some people with their meals. Most people said they were pleased with how their meals were prepared. Staff were flexible with meals and understood that people might change their minds about what they wanted on a day to day basis.

People told us staff were aware of their health care needs and knew when to call the GP or other healthcare professionals if they needed them. If people appeared unwell staff knew what to do. If people needed support with their medication staff provided this safely.

People told us the staff were caring and treated them with dignity and respect. Records showed that people’s care was provided by either a single staff member or a group of two to three care workers. This enabled people to get to know the staff who supported them.

People were directly involved in the planning of their care and encouraged to be independent and made choices about how they wanted their support provided.

We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.