This comprehensive inspection took place on 26 February 2018. On the 1 and 2 March 2018 we contacted people and staff to ask their views about the service. This inspection was announced which meant that the staff and provider knew that we would be visiting.

Pinewood Home Care was previously registered with the Care Quality Commission (CQC) under the same registration as Pinewood Nursing Home as it is operated from the same location. This was their second inspection since registering separately with CQC in January 2015. At the time of the inspection they provided personal care and support to younger and older people living in their own homes in Budleigh Salterton, Exmouth and Exeter. They supported people living with dementia and a physical disability. The registered manager made us aware at the inspection that they were in the process of cancelling their service in Exeter.

At the time of our inspection there were 32 people receiving a service from the agency. Although the majority of people using the agency received a regulated activity, some received support visits only. CQC only inspects the service 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 time of visits people received from the service ranged from 30 minutes to five hours, with the frequency of visits from once a day to four times a day. There was one person who required two care workers at each visit to support them. There were 18 full and part-time staff employed.

At our last inspection in November 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good.

Why the service is rated Good

The service continued to provide safe care to people. One person commented: “I feel very safe with them and I know that if I have any problems I can always get hold of them.”

The home had a registered manager. 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 2008 and associated Regulations about how the service is run. The registered manager had returned to work at the service in the summer of 2017 to retake up the role of manager. They had reapplied to CQC and had been re-registered as the registered manager in February 2018.

People received care which was personalised to their needs. Staff knew people well, understood them and cared for them as individuals. People were relaxed and comfortable with the staff who supported them and knew what mattered to them. Staff knew about people’s lives, their families and what they liked to do.

People’s care files were detailed and included information for staff to know how to support each person. New care plans had been put into place by the registered manager which included people’s preferred routines. The care files were regularly updated and reviewed when needed. Health and social care professionals were included in people’s care; staff worked closely with them to make sure they were providing the most appropriate care. People received the care which had been contracted to them by the commissioning service.

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

Risk assessments were in place for each person. These identified the correct action to take to reduce the ris

This inspection took place on 30 November and 1 December 2015 and was announced. The provider was given short notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. Pinewood Home Care was previously registered under the registration as Pinewood Nursing Home as it is operated from the same location. This was their first inspection since registering separately with the Care Quality Commission in January 2015.

Pinewood Home Care provide personal care and support to people living in their own homes in Budleigh Salterton, Exmouth and Exeter. At the time of our inspection there were 52 people receiving a service. Times of visits ranged from 30 minutes to a five hour sitting service. The service also provided a nine hour night sitting service. The frequency of visits ranged from one visit to 28 visits a week.

When we visited there was a registered manager in post. 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.

The registered manager and staff demonstrated an understanding of their responsibilities in relation to the Mental Capacity Act (MCA) 2005. Where people lacked capacity, mental capacity assessments had been completed and best interest decisions made in line with the MCA.

Care files were personalised to reflect people’s personal preferences. Peoples were supported to maintain a balanced diet. Health and social care professionals were regularly involved in people’s care to ensure they received the right care and treatment.

Staff relationships with people were caring and supportive. Staff were motivated and inspired to offer care that was kind and compassionate. Care staff respected people’s privacy and dignity and maintained people’s independence as much as possible. They worked in partnership with other health and social care professionals to ensure people’s health needs were met in a timely way.

Staffing arrangements were flexible in order to meet people’s individual needs. Staff received a range of training and regular support to keep their skills up to date in order to support people appropriately. Staff spoke positively about the registered manager and how the management team worked well with them, encouraged team working and an open culture.

The provider had a quality monitoring system at the service. The provider actively sought the views of people, their relatives and staff. There was a complaints procedure in place and the registered manager had responded to a concern appropriately.