CRT is a short term domiciliary care agency, used by people in their own homes in crisis situations. For example, when released from hospital, CRT can support people in the first few weeks of their return home to re-enable them to carry out their own personal care needs independently. Or, if people have longer term care needs, CRT can support people on a short-term basis whilst they find a longer-term care provider.

This inspection took place on 11, 12 September and 4 October 2018 and was unannounced. The provider of this service had recently changed and therefore this was the first comprehensive inspection for this service under the new ownership. At the time of the inspection the service was supporting 42 people with their personal care needs.

This service had a registered manager in place. 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 received safe care and staffing arrangements were flexible to meet the demands of the service. People received support with their medicines if they wished and systems were in place to record and report safeguarding concerns.

People’s needs were fully considered before they began to use the service to make sure their needs could be met. People's consent was gained before their care was provided. 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 were treated with dignity and respect and staff were commended for their cheery approach. People were encouraged to be independent and to make their own choices.

People had care plans in place which reflected their needs and these were updated when people’s needs changed. Complaint procedures were in place for people to make a complaint, and the registered manager had a good understanding of the requirements of end of life care.

The provider had quality assurance systems in place to review the quality of the service and took action to make improvements where required. People and staff had opportunities to provide their feedback and this was fully considered and acted on.