This inspection took place on the 07 and 10 September 2018.This was the first inspection of the service since registration with the Care Quality Commission in November 2017.

Curae Home Care is a domiciliary service providing personal care and support to people in their own homes. The office is situated on the outskirts of Bodmin and is accessible for people using the service and staff. The service was providing support for people living with dementia, learning disabilities or autistic spectrum disorder, mental health, people who misuse drugs and alcohol, physical disability and sensory Impairment. At the time of our inspection 30 people were receiving support from the service.

There was a registered manager in place at the time of our 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 were aware of the reporting process for any accidents or incidents that occurred and there was a system in place to record incidents. Where accidents, incidents or near misses had occurred these had been reported to the service's managers and documented in the service's accident book. There were systems in place to learn from incidents and to mitigate the risks of them occurring again.

The service provided safe care to people. Staff had received training in safeguarding adults and understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place, these included completing checks to make sure new staff were safe to work with vulnerable adults.

Medicines were managed safely and people received their medicines as prescribed. People's care plans contained risk assessments which included risks associated with people’s care. There were sufficient staff deployed to meet people's needs.

The service used assistive technology to record peoples care needs. The care planning system provided staff with direction and guidance about how to meet people’s individual needs and wishes. Care plans were regularly reviewed and any changes in people’s needs were communicated to staff. Assessments were carried out to identify any risks to the person using the service and to the staff supporting them. This included any environmental risks in people’s homes and any risks in relation to the care and support needs of the person. Risk assessments gave staff the information they needed and guidance on how to minimise the risk. They were designed to keep people and staff safe while allowing people to develop and maintain their independence.

People told us they were involved in decisions about their care and were aware of their care plans.

People received effective care from staff who had the skills and knowledge to support them. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health.

Staff had a good understanding of protecting and respecting people’s human rights. Staff spoke well about confidentiality, privacy and dignity and this came through when speaking with people.

People received personalised care by staff who understood people's individual needs and preferences. People's changing needs were responded to appropriately.

There was a complaints procedure which was made available to people and their relatives. People we spoke with told us they were happy and had no complaints.

The registered manager used a variety of methods to assess and monitor the quality of the service. These included regular audits, survey and staff meetings to seek their views about the service provided.