This inspection took place on 24 July and was announced. This was the first inspection of the service since registering to provide personal care with the Care Quality Commission in January 2016.

Nomase Care Ltd provides personal care for people living in their own homes. At the time of the inspection the service was delivering care to seven people.

The service had a registered manager at the time of the inspection. 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.

People were protected from the risk of abuse because staff knew how to identify and report any concerns. Staff had received training on safeguarding adults and understood their responsibilities to keep people safe from avoidable harm. Staff identified and managed risks to people’s health and well-being.

Sufficient numbers of staff deployed at the service ensured people received safe. A review of staffing levels when necessary enabled staff to meet the needs of people safely. Staff underwent a robust vetting process to ensure people received care from suitable staff. People had their medicines managed and administered safely by trained staff and in accordance with the provider’s procedures.

People received care from staff who had the support they needed to undertake their role. Staff underwent an induction and received regular training, supervisions and an appraisal of their performance.

Staff provided care to people as required under the Mental Capacity Act 2005. People gave consent to care and treatment before staff supported them. Staff delivered people’s care in line with their choices and preferences.

People received the support they needed to eat and drink. People had access to healthcare services and had their health needs met.

Staff delivered care to people with compassion and kindness. People had their rights to equality, privacy and dignity maintained by staff who provided their care. Staff supported people to maintain their independence whenever possible.

People using the service, their relatives and health and social care professionals were involved in identifying each person’s individual needs. Support plans in place provided sufficient guidance to staff on how to deliver personalised care. Staff carried out regular reviews of people’s needs and updated support plans when there were changes to ensure they provided responsive care to each person.

People had an opportunity to give feedback about their care. The registered manager addressed any concerns raised to improve people’s experience of using the service. People using the service and their families understood how to make a complaint about the service.

An honest and transparent culture at the service enabled staff to talk openly about the care they delivered to people. People using the service and staff knew the registered manager and made positive comments about how they managed the service. Staff were clear about their responsibilities and said they enjoyed good communication and teamwork.

Regular audits and checks on the quality of the service identified shortfalls in care provision. The registered manager took action in a timely manner to resolve any issues highlighted in audits and in line with the provider’s timescales. A close partnership with external agencies enabled people to receive care in line with best current practice.