This inspection took place on 3 October 2016 and was announced.

Purity Care is a domiciliary care service supporting people with personal care living in their own homes. At the time of our inspection there were 12 people using the service.

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.

At an inspection in August 2015 we found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. After the inspection the provider sent us details of how they would meet the legal requirements relating to the three breaches.

At this inspection we found improvements had been made. There were systems in place to ensure medicines were managed safely and people were supported to take their medicines as prescribed. People’s care plans contained risk assessments and plans identifying how risks would be managed. Care plans detailed how people's needs should be met and were personalised. There were systems in place to manage and improve the quality of the service.

People were positive about the service and the staff supporting them. People told us staff were caring and were knowledgeable about their needs. People valued the relationships they had developed with staff and the registered manager.

People felt safe and were supported by staff who understood their responsibilities to identify and report any concerns relating to safeguarding vulnerable people.

There were systems in place to plan and monitor care calls which minimised the risk of late and missed visits.

Staff felt valued and supported by the registered manager through regular supervisions and team meetings. The registered manager was approachable and staff felt comfortable to raise concerns.

People were supported by staff who understood the principles of the Mental Capacity Act 2005 and how this affected the way people were supported. Care plans identified where people lacked capacity and if there was a legally appointed person who could make decisions on their behalf.

People knew how to make complaints and felt confident to do so. There had been no complaints since our inspection in August 2015.

The registered manager had made significant improvements to the service and continued to look for ways to improve. People’s feedback about the service was used to influence the development plans for the service.

We carried out an announced inspection on 5 August 2015.

Purity Care provides personal care services to people in their own homes. At the time of our visit the service was supporting 10 people. This was the first inspection since the service registered at this location.  

A registered manager was 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 and associated Regulations about how the service is run.

Some people's care records contained information that was inaccurate and out of date.

There were no systems in place to monitor the quality of the service and issues we found during the inspection had not been identified. There was no system to monitor missed or late visits.

Medicines were not always managed safely and systems were not in line with the organisations medicines policy.

Care staff, who visited people in their homes, had a caring attitude and people were  complimentary about care staff supporting them. People were positive about the registered manager and her caring nature.

Care staff received regular supervision and felt supported. Care staff told us the registered manager was responsive and approachable. Care staff did not receive annual appraisals. We have made a recommendation relating to appraisals. 

The registered manager worked closely with health professionals. Ensuring people had access to appropriate health professionals when needed.

We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.