This inspection took place on 13 April 2017. We carried out a focussed inspection on 21 April 2016 following a comprehensive inspection in September 2015 at which four breaches of regulations were found. These were because the provider had not suitably assessed and managed some risks to people and they had followed safe recruitment procedures. In addition to this there was inconsistent understanding by staff of people’s capacity to make decisions and their right to give consent to the care they received. Quality assurance methodology also needed developing. As a result the provider was rated as requiring improvement. At the focussed inspection in April 2016 we found the provider had addressed all the breaches of regulations we had previously found.. However we did not change the ratings in April 2016 because we wanted to ensure the improvements made were well established. At this inspection we found the provider met the regulations and we have changed the rating of the service as a result to ‘Good’.

Professional Care Support Services provides personal care and support to people in their own homes in Merton and Wandsworth. The people who used the service included older people and people with a learning disability or a physical disability. On the day of our inspection fourteen people were using the service.

At the time of the inspection, there was a 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.

People told us they felt safe and were supported by staff who knew how to keep them safe. The provider had arrangements to help ensure that risks to people's health and safety were assessed and well managed by staff.

People were supported by appropriate numbers of staff. Appropriate staff recruitment procedures helped to keep people safe.

People received the support they needed to safely manage their medicines.

Staff had the knowledge and skills to care for people effectively and felt well supported by appropriate training and effective supervision.

People were all able to make choices and decisions about their care sometimes with the support of their relatives.

People received support where they needed it to have enough to eat and drink and to access a range of healthcare services.

People told us staff knew them well and were kind and caring towards them. It was evident staff had established positive relationships with people. People also said staff valued people, treated them with respect and promoted their rights, choice and independence.

People said staff who supported them had up to date information about their needs and this was delivered in the way they wanted. We found there was consistency in the provision of care for people and this enabled caring relationships to be developed.

People and their relatives told us they were involved in the planning and reviewing of their care. There was a clear plan of care available for staff who supported people according to their needs and wishes.

People were provided with support that was responsive to their changing needs.

People knew about and were able to make a complaint and were confident the provider would respond appropriately to any concerns they might have.

The registered manager had implemented a variety of methods to assess and monitor the quality of the service. These included satisfaction surveys, spot check and care reviews. We found people were satisfied with the service they received. All the records we inspected were clear, easy to access and logically filed. This reflected on a well organised and efficiently run domiciliary care service.