This inspection took place on 10 April 2017 and was announced. Living Spring Solutions is a domiciliary care agency that provides care and support for people living in their own homes. This was our first inspection at the service. At the time of this inspection five people were using the service.

The service had 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 and associated Regulations about how the service is run.

The service had appropriate safeguarding adults procedures in place and staff had a clear understanding of these procedures. There was a whistle-blowing procedure available and staff said they would use it if they needed to. Procedures were in place to support people where risks to their health and welfare had been identified. Appropriate recruitment checks took place before staff started work. People’s medicines were managed appropriately and people received their medicines as prescribed by healthcare professionals.

The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. Staff had completed an induction when they started work and they had received training relevant to the needs of people using the service. People’s care files included assessments relating to their dietary support needs. People had access to health care professionals when they needed them.

None of the people using the service were able to communicate with us verbally during the inspection so we spoke with their relatives about the service their family members were receiving. They told us they and their relatives were provided with appropriate information about the service. They said staff were kind and caring and their relatives privacy and dignity was respected. They had been consulted about their relatives care and support needs and care plans were in place that provided information for staff on how to support people to meet their needs. They were aware of the complaints procedure and said they were confident their complaints would be listened to, investigated and action taken if necessary. The registered manager and staff said there was a matching process in place that ensured people were supported by staff that had the experience, skills and training to meet their needs.

The provider recognised the importance of monitoring the quality of the service provided to people. They took into account the views of people using the service through satisfaction surveys and telephone monitoring calls. They carried out unannounced spot checks to make sure people were being supported in line with their care plans. Staff said they enjoyed working at the service and they received good support from the registered manager. There was an out of hours on call system in operation that ensured management support and advice was always available for staff when they needed it.