This inspection took place on 11 October 2018 and was announced. Medukcare Recruitment Limited is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a personal service to both older adults and younger disabled adults. At the time of this inspection the service was providing personal care to one person on a regular basis and to another person on an as and when required basis. We were not able to rate the service against the characteristics of Inadequate, Requires improvement, Good and Outstanding because we did not have sufficient evidence to rate the service. This was the first inspection of the service since they registered in October 2017.

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 2008 and associated Regulations about how the service is run. The registered manager was aware of their CQC registration requirements including submitting notifications of significant incidents.

Risks to people had been assessed and management plans developed to manage risks identified. There was a safeguarding policy and procedure in place. The registered manager understood their responsibilities to safeguard people from abuse. There were systems available to manage people’s medicines safely. However, at the time of our inspection no one was being supported with their medicines. People received their care and support at the time they needed and in a safe way. There were systems to report and manage incidents and accidents. Infection control procedures were followed.

The registered manager assessed the needs of people and delivered care and support to meet people’s individual needs and preferences. People and their relatives were involved in planning and reviewing their care. People were supported to eat and drink where required. People were supported in a way that met their individual needs and preferences.

The registered manager, where required, supported people to access healthcare services. The registered manager worked in partnership with other agencies to ensure people’s needs were met.

The provider had a system in place to ensure staff had adequate training, support and supervision to deliver effective care and support to people. At the time of our inspection, there were no staff employed to work with people, however, the registered manager provided care to two people.

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 support this practice. The registered manager obtained consent from people and their relatives before supporting them. The registered manager understood their responsibilities with regards to the Mental Capacity Act 2005.

The relative we spoke with told us that the registered manager treated their loved one with kindness, compassion and respect. The registered manager respected people’s dignity and privacy; and promoted their independence. The registered manager told us they had completed training in end-of-life care and were able to provide this service if people needed it.

Relatives knew how to raise their concerns and complaints about the service. The registered manager sought feedback from people and their relatives. The provider worked in partnership with other organisations to meet the needs of people.