This inspection was announced and we inspected the agency office on 25 October 2017. We made telephone calls to people who used the service and their relatives which concluded on 2 November 2017. Whilst the provider had previously run a service from another location, this is the first inspection of this service which was registered with the Care Quality Commission in May 2016.

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Inspired Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults, including some people with dementia, and some younger disabled adults. At the time of this inspection the service provided care to 22 people.

Two registered managers were in place. The registered managers were also the owners of the company. 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, relatives, staff and the registered managers described an exceptionally caring service. We heard how staff had gone the extra mile to provide compassionate care when people most needed it. Staff had taken homemade favourite foods into hospital when one person they supported was admitted and not eating much of the hospital meals. Another example was when staff and managers all committed to working additional hours at short notice, so they could enable one person they had previously supported to return home from hospital for the last days of their life.

We viewed a large number of compliments which the service had received from people, relatives and health professionals. These described 'outstanding' care by staff who had built strong bonds with the people they supported.

The registered managers communicated a clear vision to put people at the centre of everything they did, and through speaking with people and relatives we saw evidence this vision was working in practice. Care records were highly detailed, and emphasised not only the specific ways in which care should be delivered but how the person was an individual with much to offer.

People were respected and their dignity and independence were promoted. The service provided a box for all of the equipment and records relating to people's care to be stored in. This was designed to limit the intrusion of receiving care on the family home.

People and relatives spoke very highly of all aspects of the service. They told us they felt safe with staff employed by the service. Staff were aware of their responsibilities in responding to any concerns of a safeguarding nature.

There were enough staff to meet people's needs. People's care was provided by a small team of staff, who knew people and their needs well. Safe recruitment procedures had been followed.

People's medicines were well managed and staff followed processes to minimise the spread of infection.

Staff had undertaken training in a range of subjects to enable them to carry out their role. Staff training dates were recorded and monitored to ensure any required updates or refresher training was planned so staff skills and knowledge remained up to date. Staff received additional training in relation to people’s specific needs and their skills were assessed to determine if they were competent to deliver the task safely.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were encouraged to share their feedback, senior staff visited people monthly to carry out reviews, observations of staff conduct, and to monitor the quality of records kept. People were asked to complete a satisfaction survey and we saw responses were very positive. Staff and healthcar