We carried out an announced comprehensive inspection on 25 October 2016 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led? We did not carry out an unannounced inspection due to the type of service, and due to no concerns being identified during the first inspection.

We spoke with four people who used the services provided by Coloplast Nursing Services who all told us that the service was, “Excellent”. Care records showed that people's needs were assessed prior to any treatment being provided to them.

We found that the provider worked in co-operation with others to ensure people received appropriate care and treatment.

Staff we spoke with felt well supported in their roles and were able to access additional training as required

We examined evidence which demonstrated to us that people were asked to provide consent when being assessed for treatment and before any care and support was offered to them. People could withdraw consent at any time. People we spoke with told us that they were kept informed about their treatment needs by Charter Healthcare nurses and that their continued consent was always checked before they were offered care and support.

We saw that people were involved in the planning of their care and treatment and that they were kept informed of equipment developments which might benefit them. People we spoke with told us they were happy with the services provided by Charter Healthcare.

Staff we spoke with demonstrated to us an understanding of safeguarding vulnerable people from abuse guidance and procedures. People we spoke with told us they felt safe when Charter Healthcare nurses visited them in their homes.

We found that appropriate checks were undertaken before staff started working at Charter Healthcare. Records examined demonstrated to us that people were cared or supported by suitably qualified staff.

There were effective systems in place to regularly assess and monitor the quality of services provided to people.