This announced comprehensive inspection took place on 19 April 2018 when we carried out a visit to the office. We also carried out telephone calls to people who used the service and staff on 01, 02 and 03 May 2018.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults

Not everyone using Mega Resources Nursing & Care - Bedford 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. At the time of our inspection 37 people were using the service.

There was 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.

There were processes in place to protect people from avoidable harm and staff were aware of their responsibilities to report them. Risks to people were assessed and managed appropriately.

Staff had been recruited using a robust recruitment process. There was enough trained staff to support people with their needs. Staff had attended a variety of training to keep their skills up to date and were supported with regular supervision.

Systems were in place for the safe management of medicines and people were protected by the prevention and control of infection.

The provider had processes in place for when things went wrong and lessons were learnt in order to improve the service.

People could make choices about their food and drink and were provided with support when required.

Staff would access additional health care professionals to ensure people received effective care or treatment if and when required.

Staff gained consent to care before supporting people; this was sought in line with legislation. Staff treated people with kindness and compassion. People were treated with dignity and respect, and had the privacy they required.

People’s needs had been assessed prior to them receiving care visits. Care and support plans were personalised and reflected people’s individual requirements. People and their relatives were involved in decisions regarding their care and support needs.

There was a complaints procedure in place and people knew how to complain.

The provider had a clear vision, and was open and transparent. Quality monitoring systems were in place and were effective and staff were involved in developing the service.