We carried out an announced inspection of Impact Care Limited on 13 June 2018. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It primarily provides personal care to older adults. At the time of the inspection, the service supported two people with personal care. This was the first inspection of the service since they registered with the Care Quality Commission (CQC).

The service had a registered manager. 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 legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the service is managed.

Staff had been trained to perform their roles in certain areas by the registered manager. However, the registered manager did not hold a qualification to deliver training. Therefore, important updates on certain areas may not have been covered effectively when training was delivered.

Risks had been identified and information had been included on how to mitigate risks to ensure people received safe care. Staff were aware of how to identify abuse and knew who to report abuse to, both within the organisation and outside the organisation. Medicines were managed safely. Medicine records were completed accurately. Staff had been trained with medicines.

Pre-employment checks had been carried out to ensure staff were fit and suitable to provide care and support to people safely. Staff told us they had time to provide person centred care and had enough staff to support people. There were systems in place to reduce the risk and spread of infection. Staff were provided with personal protection equipment (PPE) to ensure risks of infection were minimised when supporting people.

People were cared for by staff who felt supported. Spot checks had been carried out to observe staff performance to ensure people received the required care and support. Assessments had been carried out using the Mental Capacity Act 2005 (MCA) principles. People’s care and support needs were assessed regularly for effective outcomes. The service worked with health professionals if there were concerns about people’s health. Staff could identify the signs people gave when they were not feeling well and knew who to report to.

People had a positive relationship with staff. People and relatives told us that staff were caring. People’s privacy and dignity were respected by staff. People were involved with making decisions about their care.

Care plans were person centred and detailed people’s preferences, interests and support needs. People and relatives knew how to make complaints and staff were aware of how to manage complaints.

Staff told us the culture within the service was open and transparent and told us the service was well-led. People, relatives and staff were positive about the registered manager. People’s feedback was sought from surveys.