This inspection took place on 7 and 8 September 2016 and was announced.

Destiny Integrated Care provides personal care to people who live in their own homes.

At the time of our inspection the provider confirmed they were providing personal care to 12 people. Prior to this inspection we had received concerns in relation to the care people were receiving and the management of the service. We therefore needed to ensure that people's care was being delivered in line with the fundamental standards.

There was a registered manager in post. 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.

Medication administration was not always recorded accurately. Medication Administration Records (MAR) were not being used for the application of topical medicines. Topical medication was being administered as prescribed, but this information was being recorded by staff within a person’s daily notes, and not on a MAR. This meant that the correct recording procedures were not being followed. People told us they were happy with the way in which they were supported with medicines, and we saw that MARS were in use for all other medication being administered.

Staff had a good understanding of abuse and the safeguarding procedures that should be followed to report abuse and were confident in using them. There were risk assessments in place to guide staff to support people safely within their homes, and enable people to be as independent as possible.

We saw that there was a sufficient amount of staff employed within the service which meant that staffing levels were adequate to meet people's current needs.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.

Staff all confirmed that they had a thorough induction into the service and that on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles.

Staff told us they were well supported by the registered manager and senior team, and had regular one to one time and the opportunity to discuss anything of concern with their manager.

People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met.

People were able to choose the food and drink they wanted and staff supported people with this when required.

People were able to have support to access health appointments if required.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes.

People were involved in their own care planning and were able to contribute to the way in which they were supported.

The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required.The people we spoke with knew how to use it.

Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed