This inspection took place on the 13 September 2016 and was announced. This was the first inspection since this service was registered in March 2014. At the time of our inspection Hosanna Social Care services provided personal care and support to four people that lived in their own homes. This included provided support to young people that lived with their parents.

There was a registered manager in post and she was present during our inspection. 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 and associated Regulations about how the service is run.

Staff were trained and knew how to report and deal with issues regarding people’s safety. We found that systems were not in place to ensure people received their medicines safely. However the registered manager took immediate action to address this to ensure people were safe. Staff were recruited in a safe way which ensured they were of a good character to work with people who used this service.

Staff had the relevant information about how to minimise identified risks to ensure people were supported in a safe way. Staff received an induction to ensure they had the skills and knowledge to support people in accordance with their needs and the values of the provider.

The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff gained people’s consent before they provided support.

People received support from staff that were respectful and caring and ensured that people’s privacy and dignity was maintained. People were supported to maintain their health.

Relatives were happy with the service provided and thought it was well managed. Records were not in place to demonstrate how the service was being monitored in order to measure the quality of the service provided. The registered manager was unaware that staff were supporting a person with a medicine and therefore the appropriate safeguards were not in place.