Home Instead Senior Care is registered to provide personal care for people who live in their own homes. 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 older adults. At the time of our inspection 5 people were receiving care in their own homes. Not everyone using this service received 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.

This inspection took place on the 22 and 23 September 2018 and was announced. This was the first inspection of this service. We gave the service two day's notice of the inspection site visit because we needed to be sure that people who wanted to speak to us and management were available during the inspection.

People told us they felt safe and had confidence in the caregivers being able to provide the care they needed in an efficient manner. One person said, "I feel they (caregivers) know what they are doing which makes me feel safe." Another person said, "The staff are all so caring and friendly really makes the difference. It is not always easy having people coming into your home."

People and relatives spoke of the service as being "Excellent." and "Go above and beyond." and "Gone way above our expectations."

People were provided with a service that was personalised, consistent and flexible, able to respond to changing needs. Where people had specific needs around health care these had been met and staff displayed a confidence in having the skills necessary.

There was a culture where the management team and caregivers provided a service which went the extra mile to ensure people had a service which was caring and responsive.

People had an opportunity to express their views about the quality of the service through frequent reviewing of their care arrangements. One person told us how they had benefitted from being able to make changes to their care when their needs changed as part of their review.

The service was accessible to people and they told us, "You can always contact the office and get a response." and "You only have to ring the office if there is a problem and they will deal with it."

The provider and management team promoted an atmosphere and culture where employees were respected and valued. One staff member told us, "This is such a good place to work."