This inspection took place on 3 April 2017 and was announced.

Destiny Health Care Services Limited is registered to provide personal care and support for people living within their own homes. At the time of our inspection there were three people using the service, whose care was provided by the registered manager, business manager and three members of care staff. People's packages of care varied dependent upon their needs.

This was the first inspection of the service since it was registered in April 2016.

Destiny Health Care Services Limited had a registered manager. 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’s safety and welfare was promoted by staff that understood and had received training on their role in protecting people from risk. Safety and welfare was further promoted through the assessment and on-going review of potential risks to people. Where risks had been identified measures had been put into place, which included the use of equipment to reduce the likelihood of risk and were recorded within people’s records and understood and implemented by staff.

Staff upon their recruitment had their application and references checked to ensure their suitability to work with people. Staff underwent a period of induction and training, which included their being introduced to people whose care and support they would provide. Training provided to staff and staff understanding of their role and responsibilities meant people were supported appropriately with all aspects of their care, which included support with their medicines.

People’s needs were effectively communicated and recorded and understood by staff, to ensure people’s needs were met. People’s care and support needs were recorded by staff which provided a clear record as to the support and care people received.

Staff understood the importance of seeking people’s consent prior to providing care and support. Staff liaised with health care professionals and kept in contact with people’s family members where they had concerns about people’s health.

People’s records, including their care plans had been developed with the involvement of themselves or their family members and provided information for staff about the person. People and their family members spoke positively about the attitude and care of staff and received care from a consistent group of staff.

People’s views about the service were sought by the registered manager and people told us they had confidence in the management of the service. An external company provided the registered manager with support with regards to changes to policies and procedures to reflect changes in good practice and legislation.