This inspection took place on 5 October 2016. CCA Training Ltd is a domiciliary care service which provides personal care and support to people in their own home in Nottinghamshire and South Yorkshire. There were six people using the service at the time of the inspection.

There is a registered manager and she was available during the inspection. 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.

Staff knew how to keep people safe and understood their responsibilities to protect people from the risk of abuse. Risks to people’s health and safety were managed and plans were generally in place to enable staff to support people safely. There were sufficient numbers of staff to meet people’s care needs and staff were recruited safely though written references were not in place. People received the level of support they required to safely manage their medicines.

Staff received appropriate induction, training and supervision. People’s rights were protected under the Mental Capacity Act 2005. People received the assistance they required to have enough to eat and drink. External professionals were involved in people’s care as appropriate.

Positive and caring relationships had been developed between staff and people who used the service. People and their relatives, where appropriate, were involved in the planning of their care and making decisions about what care they wanted. People were treated with dignity and respect by staff who understood the importance of this.

People received the care they needed and staff were aware of the different support each person needed. Care records required improvement so that clear information could be easily found for staff to provide personalised care. People felt able to make a complaint and knew how to do so.

People and their relatives were involved in the development of the service. Staff told us they would be confident raising any concerns with the management and that the registered manager would take action. There were systems in place to monitor and improve the quality of the service provided.