Nottingham Home Care is a domiciliary care agency. It provides personal care to people living in their own houses and flats and provides a service to older adults and younger adults with a physical or learning disability in and around Nottingham City. The service principally provides a rehabilitation care service to assist people who are recovering from a trauma, such as a stroke, to recover their ability to care for themselves.

At our last inspection in December 2015 the service was rated as Good; on this inspection we found the service remained Good in all areas. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The service had a registered manager in place at the time of our 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 continued to receive safe care. Risks to people’s health and wellbeing were assessed and this was reviewed to ensure people continued to be assisted in a safe manner. The staff understood how to protect people from harm and the registered manager had reflected on how safeguarding concerns were addressed to ensure these were reported promptly. Some people received assistance to take medicines and records were kept to ensure that this was done safely. There were safe recruitment procedures in place to ensure new staff were suitable to work with people.

Staff were supported and trained to ensure that they in turn had the skills to support people effectively. When people required assistance to eat and drink, the provider ensured that this was planned to meet their preferences and assessed need. People were able to make decisions about how they wanted to receive support to ensure their health needs were met.

The care people received remained good. Care was planned and reviewed with people and the provider ensured that people’s choices were followed. People’s privacy and dignity was respected and upheld by the staff who supported them. People felt comfortable with staff who they knew and satisfied with the support provided.

The service remained responsive. The support plans reflected people’s specific needs and preferences for how they wished to be supported and this was reviewed. People felt comfortable raising any issues or concerns directly with staff and there were arrangements in place to deal with any complaints. Information was being reviewed to ensure it this was accessible to all people who used the service.

The service remained well led. Staff felt supported by the registered manager. Regular quality checks were completed and people could comment on the quality of service provision. People and staff were encouraged to raise any views about the service to consider how improvements could be made.

This inspection took place on 16 December 2015. Social Care Reablement is a domiciliary care service which provides personal care and support to people in their own home.

There is a registered manager and she was available during 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.

Staff knew how to keep people safe and understood their responsibilities to protect people from the risk of abuse. Risks to people’s health and safety were managed and plans were in place to enable staff to support people safely. There were sufficient numbers of staff to meet people’s care needs and staff were recruited safely. People received the level of support they required to safely manage their medicines.

Staff received appropriate induction, training, supervision and appraisal. People’s rights were protected under the Mental Capacity Act 2005. People received the assistance they required to have enough to eat and drink. External professionals were involved in people’s care as appropriate.

Positive and caring relationships had been developed between staff and people who used the service. People were involved in the planning and reviewing of their care and making decisions about what care they wanted. People were treated with dignity and respect by staff who understood the importance of this.

People received the care they needed and staff were aware of the different support each person needed. Care records provided sufficient information for staff to provide personalised care. People felt able to make a complaint and knew how to do so.

People and their relatives were involved in the development of the service. Staff told us they would be confident raising any concerns with the management and the registered provider was meeting their regulatory responsibilities. There were systems in place to monitor and improve the quality of the service provided.