We carried out an announced inspection at Kare Plus, Oldham on 21 and 22 December 2018.

Kare Plus, Oldham is a domiciliary care service providing personal care and support to people in their own homes. The office is based in Oldham. At the time of our inspection care was being provided to eight people.

The service was registered 25 November 2016. This was their first rated inspection.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 registered manager and staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. Checks were carried out on staff to assess their suitability to support vulnerable people.

The service was responsive and people received individualised care and support. People were encouraged to make their views known and the service responded by making changes. The registered manager welcomed comments and complaints and saw them as an opportunity to improve the care provided.

Staff received regular supervision and training to carry out their role effectively.

Staff were recruited safely and there were enough staff to make sure people had the care and support they needed.

Systems to ensure medicines were managed safely were in place however, the service was not supporting people with medicines at the time of the inspection.

People knew how to complain and raise any concerns. People and their relatives did not raise any concerns with us.

The registered manager and staff understood the principles of the Mental Capacity Act (MCA) 2005 and worked to ensure people's rights were respected.

People were cared for by staff who knew them well. Staff treated people with dignity and respect. The manager and staff had a good understanding of equality, diversity and human rights.

The vision and values of the service were clearly communicated to and understood by staff. A quality assurance system was in place. This meant the quality of service people received was monitored on a regular basis and where shortfalls were identified they were acted upon.

Kare plus, Oldham had a comprehensive business continuity plan in place to prepare the service in case of unforeseen circumstances and emergencies.

The culture within the service was personalised and open. There was a clear management structure and staff felt well supported and listened to.