This unannounced inspection took place on 04 July 2017. Grace Homecare LTD is a home care business located in Beeston near to the Leeds City centre. Grace Homecare LTD aims to deliver person centred care that enables older people to remain in their own home. At the time of the inspection visit Grace Homecare LTD was providing support to 38 people.

There was a registered manager in place. 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.

This was the first inspection of the service at this location. The registered provider had moved offices since our last inspection visit. At this inspection visit we found all fundamental standards had been met.

People spoke extremely positively about the quality of service provision on offer. Staff were described as caring and kind. People valued the relationships they had developed with their staff team. We saw evidence of staff going the extra mile to help people become independent and autonomous.

People told us they felt safe and secure. Arrangements were in place to protect people from risk of abuse. Staff had knowledge of safeguarding procedures and were aware of their responsibilities for reporting any concerns.

People told us that on the whole, staffing levels and staff reliability were good. We spoke the registered manager and registered provider about staffing. They told us they were proactively looking at ways to retain staff to ensure staff continuity. People who had regular carers told they had developed positive relationships with staff.

Staff told us Grace Homecare LTD was a good place to work. They praised the management and the way in which the service was run. They told us communication was good and described the managers as caring and approachable.

Staff were positive about ways in which the service was managed. Staff described the working culture as positive.

Recruitment procedures were in place to ensure checks were made on staff prior to them starting work. This allowed the service to check people’s suitability for working with vulnerable people.

Suitable arrangements were in place for managing and administering medicines for people who required support with this.

Care plans were in place for people who used the service. Care plans covered support needs and personal wishes. Plans were reviewed and updated at regular intervals and information was sought from appropriate professionals as and when required. The service had systems in place to monitor and manage risks.

People’s healthcare needs were met by the service. We saw evidence of partnership working with other healthcare professionals. When people required support with eating and drinking we saw that appropriate records were maintained.

People told us staff were appropriately trained to carry out their role. Staff praised the training on offer. They told us it enabled them to carry out their tasks proficiently.

Staff who worked for the service had an understanding of the Mental Capacity Act and were able to transfer the knowledge to their practice. When people lacked capacity the service worked with other professionals to ensure capacity was assessed and appropriate systems were implemented.

People told us that whenever they had concerns and complaints they felt they could discuss them with the senior management team and were assured they would be dealt with efficiently and effectively.