The inspection of CRS Doctors Limited took place on 19 June 2017 and was the first inspection of this service. The on-site visit was followed by two days of telephone calls to staff, a relative, friends and professionals.

CRS Doctors Limited is a domiciliary care agency providing support for people living at home which could include 24 hour live in care. At the time of inspection there were two people using the service.

There was a registered manager in post and we spoke with them on the first day of 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.

People, relatives and their friends told us they felt safe and staff were knowledgeable and experienced. Safeguarding concerns had been dealt with appropriately and guidance issued for staff.

Risks were managed in a person-centred manner and focused on risk reduction to minimise the likelihood of harm.

Care shifts were planned in advance and contingency plans were in place in event of sickness. Medication was managed safely and correct procedures followed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us they received appropriate help with eating and drinking and were encouraged to access external service such as GPs or other professionals as needed.

Staff and the registered manager were spoken highly of, with people feeling they offered good care. They felt staff listened to them, provided necessary support but also encouraged independence.

Care records were detailed and focused on the individual’s needs. Daily records evidenced the plans were followed and people were offered choices and support as per their preferences.

The service had not received any complaints but did have many compliments.

The registered manager provided clear, effective and sound leadership, was fully aware of their responsibilities and was open to learning and development to improve the experience of people receiving support.