About the service: Kells Domiciliary Care Ltd is a domiciliary care agency and provides personal care to people living in their own houses and flats in the community. It was providing personal care to four people at the time of the inspection.

Not everyone using the service receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

People’s experience of using this service:

People and relatives told us they felt safe with the staff and the support they received. People were safeguarded against the risks of abuse and harm.

Risk assessments were in place; however, these were not personalised. There was a lack of detailed guidance for staff to follow on how to keep people safe.

Medicines were not always managed safely. Records we checked did not give assurance that people received their medicines as prescribed. We have made a recommendation about this in our report.

Recruitment procedures had not been consistently followed. We have a made a recommendation about this in our report.

Audit systems in place to monitor the quality of care people received were not effective and did not identify the concerns we found at this inspection.

The registered manager assessed people's needs to help ensure they received appropriate care. Care plans were developed in partnership with people.

People and relatives told us staff were able to meet their needs and were respectful of their individual preferences. People said staff who supported them were kind and caring.

People and relatives confirmed the service did not miss any care calls and that staff were on time.

People received care and support from a small group of staff, which provided consistency.

We identified a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around the governance of the service. Details of action we have asked the provider to take can be found at the end of this report.

Rating at last inspection:

This was the first inspection of the service since their registration with the CQC on 28 September 2018, following a change in provider.

Why we inspected:

This was a planned inspection based on the date of registration. Newly registered services receive an inspection within 12 months of the registration.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk