This inspection took place on 08 June 2017. DKM Healthcare Limited [the service] is registered to provide personal care and support to people living in their own homes. At the time of our inspection the service offered support to nine people living in the Nottinghamshire area.

There was a registered manager and she was available during 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.

People were very satisfied with every aspect of the service provided. People and relatives spoke highly of both the staff and the registered manager. People who used the service told us they were treated with compassion and kindness and that their privacy and dignity were respected at all times.

People who used the service and relatives we spoke with told us they felt staff supported people safely in their home and when out in the community.

Staff we spoke to had a good understanding of the various types of abuse and their roles and responsibilities in reporting any safeguarding concerns.

Staff had also received safeguarding adults training.

Staff employed at the service were recruited safely and received regular training and supervision as part of their role.

People’s rights were protected under the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their nutritional needs. External health professionals were involved in people’s care when required.

People’s care plans reflected their individual needs and personal wishes. People told us they were always involved in the development of their care plans and these were reviewed regularly.

People told us they received their medicines as prescribed and staff were able to explain the process they followed when supporting people to safely take their medicines. Medicines that were ‘as and when’ required needed additional guidance for staff to follow.

The service encouraged feedback from all people involved with the service. A complaints process was in place and complaints had been responded to appropriately. People and relatives felt able to make a complaint and felt confident that the registered manager would respond appropriately.

People and staff were complimentary about the leadership of the service. The registered manager and staff were clear about the vision and values of the service which made sure people were at the heart of the service they received.

There were systems in place to monitor and improve the quality of the service provided.