Clifton Homecare is a domiciliary care agency providing personal care to people in their own homes. The agency provides support in the home for older people and people who live with dementia. The agency operates from offices based on Orchard Road in St. Annes. At the time of our inspection Clifton Homecare provided services to 67 people.

At the last inspection carried out on 13 December 2016 the service was rated Outstanding. At this inspection we found the evidence continued to support the rating of Outstanding. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The registered provider was an individual who also managed the service on a day to day basis. Registered providers 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 supported by the service continued to receive personalised care which was extremely responsive to their individual needs. Staff had an excellent understanding of the care and support people required and provided this with great care and patience.

People supported by the service and their family members consistently told us staff who visited them were polite, reliable, caring and professional in their approach to their work. They spoke positively about the quality of service provided and how the registered provider and her staff went the extra mile to ensure their needs were met.

People’s care and support had been planned proactively and in partnership with them. People felt consulted and listened to about how their care would be delivered.

Systems, processes and practices were embedded to safeguard people from abuse and risk of harm. Good practice guidance had been followed to keep people safe. Staffing levels were continuously reviewed to ensure there were enough staff to provide a flexible and responsive care.

The service continued to be extremely responsive to supporting people outside their contracted hours. We were repeatedly told of occasions where the service had gone above and beyond what was expected of them. This included attending to people who had fallen and responding to support people who were unwell and needed assistance gaining medical attention.

People spoken with consistently referred to the registered provider and her staff as kind and caring people. They told us they valued their relationships with the staff who supported them and the support provided often exceeded what they had requested.

People supported by the service and family members consistently told us they felt safe with the staff who supported them. They told us they received patient and safe care and they liked the staff who supported them. They said staff were respectful, friendly and conscientious.

Links with health and social care professionals continued to remain excellent.

People were supported by the service to attend healthcare appointments to ensure their health and wellbeing was maintained.

People who used the service were supported to attend outings organised by the service or activities of their choice with the services own transport. During our inspection people told us about events they had attended which provided opportunities to socialise and make friends.

Recruitment procedures were safe with appropriate checks undertaken. Careful consideration had been given to ensure staff offered employment shared the same care values of the registered provider to deliver high quality care alongside the existing staff team.

Staff and their mix of skills were used innovatively to give them the time to develop positive and meaningful relationships with people to keep them safe and meet their needs. There was a strong emphasis on promoting independen

This inspection visit took place on 13 December 2016 and was announced.

This was the services first inspection since its re- registration with the Care Quality Commission (CQC) on 10 November 2016. This was because the service had moved premises.

Clifton Homecare is a domiciliary care agency, providing personal care to people in their own homes. The agency provides support in the home for older people and people who live with dementia. The agency operates from offices based on Orchard Road in St. Annes. At the time of our inspection visit Clifton Homecare provided services to 36 people.

The registered provider was an individual who also managed the service on a day to day basis. Registered providers 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 supported by the service consistently told us staff who visited them were polite, reliable, caring and professional in their approach to their work. They spoke positively about the quality of service provided and how the registered provider and her staff went the extra mile to ensure their needs were met. Comments received included, “The staff who visit me are of the highest quality. I am receiving the best care I could have wished. They are all lovely people and I cannot wait for their visits, they make my day.” And, “All my carers are polite and friendly always laughing and joking. They provide a fantastic service and nothing is too much trouble for them.”

The service was extremely responsive to supporting people outside their contracted hours. We were repeatedly told of occasions where the service had gone above and beyond what was expected of them. This included attending to one person who was being cared for at end of life who had been stranded due to recent floods in a rural area. With the use of the services 4x4 vehicle they had been able to get to the persons home and provide much needed care and food provisions. The carer of the person couldn’t praise and thank the registered provider and her staff enough for responding to their difficult circumstances.

People spoken with consistently referred to the registered provider and her staff as kind and caring people. They told us they valued their relationships with the staff who supported them and the support provided often exceeded what they had requested.

People supported by the service consistently told us they felt safe with the staff who supported them. They told us they received patient and safe care and they liked the staff who supported them. They said staff were respectful, friendly and conscientious.

People’s care and support was planned proactively and in partnership with them. People felt consulted and listened to about how their care would be delivered.

Links with health and social care professionals were excellent. Health professionals we spoke with repeatedly praised the standard of care provided and described the service as exceptional.

People were supported by the service to attend healthcare appointments to ensure their health and wellbeing was maintained. One person said, “They come and pick me up in their company car and support me when I have health appointments. I don’t know how I would get there without them.”

People who used the service were supported to attend outings organised by the service or activities of their choice with the services own transport. On the day of our inspection visit a number of people were attending a local garden centre for afternoon tea and cakes. People spoken with told us they enjoyed these events as they provided them with the opportunity to socialise and make friends.

The service had regularly organised fund raising events including two recent Macmillan coffee mornings. These had been attended by people presently using the service and family members of previous clients. The events had provided people with a