This inspection took place on 14 and 16 August 2018 and was announced.

At the last comprehensive inspection on 16 January 2018 the service was inspected but not rated. This was because as there was not sufficient information available to us to make an informed assessment.

At this announced inspection on we rated the service as ‘Good'.

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

Future Care - Milton Keynes –provides a personal care service to people who live in their own homes that includes, support with taking medicines, personal care, meal preparation, respite care and home from hospital care. At the time of our inspection the service was supporting e two people who were receiving care from live in carers.

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 and associated Regulations about how the service is run.

People received safe care. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were detailed risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe and the registered provider followed thorough recruitment procedures to ensure staff employed were suitable for their role.

People’s medicines were managed safely and in line with best practice guidelines. Systems were in place to ensure that people were protected by the prevention and control of infection. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service

People’s needs and choices were assessed and their care provided in line with their preferences. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they were able to provide care based on current practice when supporting people.

People received support to eat and drink where required. People were supported to use and access a wide variety of other services and social care professionals. People were supported to access health appointments when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

People's consent was gained before any care was provided. 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.

People received care that was person centred and met their needs. They had developed positive relationship with the staff who understood their likes and dislikes. Staff were kind, caring and treated people with dignity and respect.

People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred. Records showed that people and their relatives were involved in the care planning process. There was a complaints procedure in place to enable people to raise complaints about the service.

Staff felt supported and valued and said they were able to discuss any issues or concerns. There were systems in place to monitor the quality of the care provided and to ensure the values; aims and objectives of the service were met. People had the opportunity to be involved in how the service was run. They were asked for their opinions of the service on a regular basis. This was through visits to people's homes and through the use of surveys.

This announced inspection took place on 16 January 2018 and was the first comprehensive inspection for this service. The provider had only been providing a small amount of personal care support to one child for a short period of time. Therefore we were unable to give the service a rating as there was not sufficient information available to us to make an informed assessment.

This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. At the time of this inspection, the registered manager was the only member of staff employed by the service and they supported one person within the community. The provider confirmed they planned to support adults with personal care needs within the community. The CQC only inspect services 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.

The provider was the registered manager of the service. 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.’

Systems were in place to help protect people from harm and the registered manager had a good knowledge about how to report any concerns. Recruitment procedures were sufficient to protect people from working with unsuitable staff. Risk assessment procedures were in place to help minimise the risk of unsafe care and support. Procedures were in place for the safe administration of medicines, but this could not be tested, as the service had not supported people with this area of care.

The registered manager was the only employee of the service and maintained relevant skills by completing training which helped them to deliver safe and effective care. Each person had a full assessment of their care needs before they began using the service and the registered manager had a good understanding of the principles of the Mental Capacity Act. The support provided to manage people’s nutritional and healthcare needs could not be reviewed during this inspection, as the service did not support anyone in this regard.

The registered manager spoke with kindness and fondness about their role and was able to give examples of how they supported people in a caring way. People’s diverse and individual needs were respected and prioritised and people were encouraged to express their views with the use of an advocate where necessary.

People had care plans in place, which provided advice and guidance about how people liked their support. They were encouraged to try new opportunities and received personalised care, which met their needs. Systems were in place to investigate and respond to complaints however, no complaints had been received.

The service had a clear vision to support people with personalised care and to encourage their independence. Systems were in place to obtain people’s feedback and to ensure the service was providing good quality care. The registered manager made efforts to involve people, their advocates and other agencies to ensure a consistent service for people and sought opportunities for continuous development.