PIC 24 Healthcare Ltd is a domiciliary care agency registered to provide personal care. The agency provides support with personal care and domestic tasks. The agency office is based in Sheffield and support is currently provided to people living in their own homes in the Sheffield area. At the time of the inspection two people were receiving support. At the time of the inspection the registered manager and nominated individual were the sole employees, who were responsible for care delivered as well as the running of the service.

There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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.

PIC 24 Healthcare Ltd was registered with CQC in June 2017. The registered manager told us the service started supporting people in February 2018.This was the service’s first inspection.

At this inspection we found the registered provider was in breach of three regulations.

People who used the service told us they felt safe. At the time of the inspection there were no recorded accidents, incidents and safeguarding concerns. The management team knew how to identify and report suspected abuse and had clear systems in place which ensured safety and legal standards were met.

We identified improvements to people’s care records were required, as not all support provided by staff was clearly documented. We found areas of risk which were not effectively managed or mitigated against, such as not always completing a relevant risk assessment when a risk had been identified. Feedback obtained during the inspection showed people received appropriate care and treatment.

People and their relative’s told us the service was very reliable and staff were well-trained and stayed as long as they should. We found people received support from the same staff which promoted good continuity of care. People told us the management team were exceptionally caring and always listened. We saw care records contained details about special dietary requirements but lacked detail about people’s food and drink preferences. We found the systems for obtaining consent before people received care and treatment were not always effective.

We saw evidence of a collaborative approach to planning people’s care and support. People told us they were provided a copy of their care plans which was reflective of their needs. We identified more detail was needed in people’s support plans in regard to more specialist support, such as catheter care. We saw the service had received no complaints since they began operating. At the time of our inspection, the service was not supporting anyone who required end of life care. People’s care plans did not refer to any aspect of end of life care. We have made a recommendation about advanced care planning.

People and relatives told us they thought the service was well-run and the management team were approachable and friendly. We found the registered provider’s systems or processes were not established and operated effectively to ensure compliance with the requirements of regulations.