We visited the service on 9 and 14 March 2017. We gave short notice to the manager to ensure that she would be available for the inspection. This was the first inspection of the service.

Kare Plus Wirral provides care and support to people living in their own homes across the Wirral. At the time of our visit, the agency was providing support for approximately 28 people and employed 23 support staff.

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 requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The response from people who spoke with the expert by experience was mainly positive and everyone described the staff as kind and caring.

The care records we looked at showed that people were involved in decisions about their care and support. The care records contained detailed information about the support people required and were written in a person-centred style.

The provider had systems in place to ensure that people were protected from the risk of harm or abuse. We saw there were policies and procedures in place to guide staff in relation to safeguarding adults. We found that good recruitment practices were in place which included the completion of pre-employment checks prior to a new member of staff working at the service.

Procedures were in place for the safe management of people's medication when required and staff received medication training.

Staff received a comprehensive training programme to enable them to work safely and effectively.

Internal quality monitoring systems were still being developed to ensure that the service people received was reviewed with them on a regular basis.