This inspection took place on 12,13 and 17 September 2018. We gave short notice of the inspection because we needed to be sure the registered manager would be available to speak with us. This was the first inspection of the service since they registered with the Care Quality Commission.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to a range of people, including older people and people with physical disabilities. Not everyone using Helping Hands Derby receives a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection, the service was providing care and support to 60 people.

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 and relatives told us they had confidence and felt safe with staff from Helping Hands Derby. Staff demonstrated a good understanding of the various types of abuse and knew how to report any concerns. Managers provided regular training and guidance to support staff understanding of their role in protecting people from abuse.

Potential risks people were exposed to had been identified and reviewed. Risk assessments included detailed information and guidance to support staff to follow measures to reduce the risk of harm.

People received care from a consistent team of staff who arrived on time and stayed the full length of the call. There were robust recruitment processes in place. These helped to ensure staff were suitable to provide care and support. There were enough staff available to meet people's needs as assessed in their care plans.

Systems were in place to ensure staff followed safe infection control procedures to prevent the risk of infection when providing care. People received their medicines as prescribed.

There were arrangements in place for the service to make sure that action was taken and lessons learned when accidents or incidents occurred, to improve safety across the service.

People's needs and choices were assessed and their care provided in line with their wishes and preferences. Staff completed an induction process when they first started working in the service and on-going training and supervision. Training was reviewed and evaluated to ensure it was effective. This supported staff to gain the skills and knowledge they needed to provide care based on current practice.

People received support to have enough to eat and drink and were supported to maintain their health and well-being.

Staff demonstrated their understanding of the Mental Capacity Act 2005. They gained people's consent before providing care and support.

People had positive, caring relationships with staff who knew them well and supported people to maintain their independence as far as possible. Staff were committed to protecting people's right to dignity and privacy and treated people with respect.

Care plans provided staff with detailed information and guidance about people's likes, dislikes and preferences. People and their relatives were involved in planning all aspects of their care and support and were able to make changes to how their care was provided. Records were regularly reviewed to ensure care met people's current needs. This helped to provide staff with the information they needed to provide care that was personalised for each individual.

Staff understood the risk of people becoming socially isolated and measures to reduce this were clearly incl