The inspection took place on 19 and 25 July 2018 and was announced.

Grande Care Ltd is registered to provide personal care to people in their own homes and was registered with us in June 2017. This was the first inspection of this service following registration with us. At the time of this inspection, the service was providing four people with personal care.

There was no 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. The provider was managing the service and is referred to as ‘the manager’ in the inspection report.

People received care from a consistent staff team who arrived when they were expected and stayed the allocated time. People felt safe with care staff because they had been trained to provide effective care that met their individual needs and preferences.

People had an assessment of their care needs completed at the start of the service that identified any potential risks to providing their care and support. People’s care plans included the actions staff should take to minimise the identified risks. Staff understood their responsibility to work in a safe way and to report any concerns about people’s health and wellbeing to the manager.

People were fully involved in planning and reviewing their care and had been consulted about how they liked their care undertaken and what mattered to them. Staff worked in partnership with people and sought their consent before each care intervention.

People were treated with care and kindness by staff who took time to know them and understand their needs. Staff had received training in equality and diversity and treated people with respect. People told us staff communicated effectively with them to ensure their wellbeing.

People were given a copy of the complaints policy and knew how to raise any concerns.

People spoke very highly of the leadership of the service and the quality of care provided by Grande Care Ltd. Staff told us they were part of a supportive team and management support was available. However, whilst there was governance and accountability arrangements in place, as the service was quite new and only provided care to a small number of people, it was not possible to fully assess if the systems to learn, improve and ensure sustainability were fully effective.