The inspection took place on 6 June 2017 and was announced. This was the first inspection of this service following its registration with us in April 2016

Entire Care is registered to provide personal care to people in their own homes. At the time of our inspection the service supported three people and employed four care staff. Only one person received personal care support.

There was no 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. The registered manager had left the service in May 2017. The provider was recruiting for another manager and the vacancy had been advertised. In the interim, two directors were managing the service, one of which was the nominated individual (provider’s representative) for the service.

Staff knew how to keep people they supported safe and there were processes to minimise risks to people and staff safety. These included procedures to manage identified risks with people’s care and for managing people’s medicines. Care staff understood how to protect people from the risk of abuse and how to report any concerns. The suitability and character of staff was checked during the recruitment process to make sure they were suitable to work with people who used the service.

Staff followed the principles of the Mental Capacity Act (MCA) they respected people’s decisions about the care they received and gained people’s consent before providing care.

There were enough staff to support people. People told us staff were friendly and caring and had the right skills to provide the care and support they required. Staff received an induction when they started working for the service and completed training to support them in meeting people’s needs effectively.

Care plans and risk assessments contained relevant information for staff to help them provide the care people required. Copies of care plans were available in people’s homes for staff to refer to.

No complaints had been raised with the service. People and relatives knew how to raise concerns or make a complaint if needed.

Staff felt supported by the directors, and were able to contact them at any time. There were systems to monitor and review the quality of service people received. This was through regular communication with people, their relatives and staff.

People received visits to review their care and to find out their experience of the service. Records completed by care staff during visits were checked when they were returned to the office to make sure people received the care they required.