Personal Home Choices LTD provided care staff to people living in their own homes.This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults. Everyone using Personal Home Choices LTD received regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. We also took into account wider social care provided. At the time of the inspection there were 8 people were receiving the regulated activity of personal care.

This announced inspection was carried out on 10 October 2018. This was the first inspection of this service since it was registered in November 2017.

The previous registered manager had left their post in June 2018 and a new manager had started working for the service from 1 October 2018. They were in the process of applying to be the 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 2008 and associated Regulations about how the service is run.

There were systems in place to ensure people safely received their medicines. However, information in people’s care plans did not always accurately reflect if people needed staff to prompt or administer their medicines. Shortly after the inspection the director confirmed people's care plans accurately recorded what type of support people needed with their medicines.

The provider had recruitment processes in place, however, these had not always been followed. The director rectified the recruitment issues shortly after the inspection.

Audits took place to check the quality of the services being offered to people. There were action plans which had identified areas needing to be reviewed and improved. Throughout the inspection the management provided a positive and honest response to the inspection process.

People told us they felt safe receiving care from the staff team. Risks to people were assessed and managed safely to help them maintain their independence. Staff were aware of people’s needs and followed guidance to keep them safe. Staff understood how to safeguard people and protect their health and well-being.

Care plans contained detailed information and were regularly reviewed with people to ensure they reflected their current needs.

People were supported to maintain their health and staff worked in partnership with social and health care professionals.

People received high quality care from staff who were kind and compassionate. We received positive feedback on the staff team from people using the service and relatives.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The systems in the service supported this practice.

People and relatives were confident in the management of the service and were comfortable to raise concerns.

Staff received on-going training and support that ensured they had the skills and knowledge to meet people's needs.