The inspection took place on 23 and 30 November 2017 and was announced.

The service was last inspected on 22 June 2015, when it was given an overall rating of Good. At this inspection, we identified clear improvements in the service in relation to how the provider ensured the care and support people received was Effective, Caring and Responsive.

Inspiration Care Domiciliary Care is registered to provide personal care to people living in their own homes. There were seven people using the service at the time of our inspection.

This service provides care and support to people living in seven ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service is required to have a registered manager and there was a registered manager in post at the time of 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 2008 and associated Regulations about how the service is run.

The strong person-centred culture within the service empowered people, enabling them to live full, vibrant lives and achieving exceptional outcomes for individuals. People and their relatives agreed, and received, a bespoke package of care and support, reflecting their diverse needs and requirements. Personalised support plans emphasized people’s strengths, abilities and what was of greatest importance to them. Through adhering to these, and embracing the use of new technologies, staff provided consistent, person-centred support that enhanced people’s health, well-being, and independence. People’s involvement in their local community was actively encouraged, along with their access to a wide range of work opportunities and leisure activities. The person-centred support people received included help to adapt their homes to better suit their individual needs, and to identify additional sources of help and advice that may be of benefit to them.

Staff and management maintained open communication, and worked in close partnership with people, their relatives and the professional team to fully benefit from their expertise, insights and experience. Their ongoing involvement in assessment, care planning, care reviews and staff training was actively encouraged. People and their relatives felt respected, valued and listened to. Staff and management used a range of communication strategies and accessible materials to ensure people were able to fully express their views and have full involvement in decision-making that affected them.

People experienced close, trusting relationships with staff who were highly motivated, exceptionally caring and who knew them well. Staff and management demonstrated their empathy and compassion for people in their consistent willingness to go the extra mile. Staff received the training, supervision and ongoing support needed to fully succeed in their roles and to continually improve their knowledge and skills. Respect for people’s privacy, dignity and human rights was at the heart of the service. Staff were alert to any form of discrimination and actively supported people in challenging these issues. Guided by clear procedures, risk assessments and safety protocols, staff understood and fulfilled their individual responsibilities to protect people from abuse and avoidable harm.

This inspection was carried out on 22 June 2015. We gave the registered manager 48 hours’ notice of our intention to undertake an inspection. This was because the organisation provides a domiciliary care service to people in their own homes and we needed to be sure that someone would be available at the office.

The provider registered this service with us to provide personal care and support for people within their own homes. At the time of our inspection eight people received care and support from this service.

There was 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.

When we last inspected the service in October 2012 we found the service met all of the requirements of the regulations we assessed them against. During this inspection we found they continued to be meeting the requirements of the regulations.

People said they felt that the staff and management were approachable and listened to their views about the care they received. They told us that nothing was done without their consent. Staff told us that all care was person centred and could only be given if the person consented.

People told us that there was enough staff to meet their needs. The staff we spoke with also felt that there was enough staff to manage people’s needs safely. Staff told us what they would do if they saw or suspected abuse and demonstrated knowledge of safeguarding people from abuse.

People we spoke with told us that staff were kind and caring and knew their needs.

Staff told us that they did not start working with people until checks had been made to make sure they were suitable to support people in their homes and keep them safe.

The registered manager monitored the quality of the service by completing a range of checks and by also gaining regular feedback form people that used the service and their families or carers.