Forever Good Care Ltd, trading as and referred to in this report as Caremark (Merton), is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older people and people with physical and mental health needs. There were 41 people using the service at the time of our inspection.

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

The service had 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.

People using the service told us they were treated in a respectful and caring manner by regular staff members who supported them safely and effectively.

People were supported by staff who were trained and well supported in their job roles. Staff members had been safely recruited and had received an induction to the service. They had access to supervision and were given regular opportunities to discuss their performance with the management team.

People and staff were protected from potential risk of harm as the service had identified and assessed any risks to them and reviewed these on a regular basis. Staff understood how to help protect people from the risk of abuse. The agency had procedures in place to report any safeguarding concerns to the local authority.

Medicines were administered in a safe way. Staff received training and followed safe procedures for administering medicines.

Staff had received training in the MCA (Mental Capacity Act) and understood the importance of gaining people’s consent before assisting them.

The service completed detailed assessments of people’s needs and these were used to inform the care plan for each person. The service kept people’s needs under review and made changes as required.

People and their relatives felt able to raise any concerns or complaints. There was a procedure in place for people to follow if they wanted to raise any issues.

The service was well led. The registered manager monitored the quality of the service and made changes to improve the service provided when required. Staff and people who used the service found the management team approachable and responsive.

This inspection took place on 22 October 2015 and was announced. We gave the registered manager 48 hours’ notice to give them time to become available for the inspection. At the last inspection on 12 and 22 May 2015 we found the provider was breaching the regulation in relation to medicines management while all other regulatory requirements we checked, were being met. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach.

We undertook this focused inspection to check that they had followed their action plan and to confirm that they now met legal requirements and had addressed the area where improvement was required. We found the provider had taken all the necessary action to improve the service in respect of the breach we found.

This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Forever Good Care Ltd on our website at www.cqc.org.uk

Forever Good Care Ltd, trading as Caremark (Merton), provides personal care and support to people in their own homes who have a variety of needs, including older people and people with physical and mental health needs. There were 13 people using the service at the time of our inspection.

The service did not have 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. However, the managing director of the service had applied to CQC to become the registered manager and was awaiting the outcome of their application.

The provider had improved the way they managed people’s medicines. Records showed people had received their medicines as prescribed and systems were in place for the provider to check this. Staff had received refresher training in how to manage people’s medicines safely. The manager ensured the expected records were in place to inform staff what people’s medicines were for and any side effects and contra-indications to look out for as part of keeping people safe.