Quality Care Solutions are registered to provide a range of services to people in their own homes including personal care. At the time of our inspection the service was supporting one person. This person was mainly provided with personal care on short visits during key times of the day. This included help with getting up in the morning, going to bed at night and support with meals. The service advised us that they were planning to provide care to more people and were in the process of liaising with local authorities for future referrals.

Due to the number of people supported by the service we were not be able to award a rating because we did not have enough evidence.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (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.

There were systems and processes in place to minimise risks to the person receiving care. We were reassured by relatives’ feedback that the person receiving care was safe. The service had safeguarding systems and processes to support care workers to protect the person from avoidable harm. Care workers were aware of how to raise concerns. They had undergone appropriate recruitment checks prior to working at the service. There was an adequate number of care workers deployed to meet the person’s needs. However, the service required more care workers to cover for emergencies. The service was actively recruiting for more care workers. The person received help with medicines. They were supported to take their medicines by care workers who had been trained in doing so.

The person’s relative commented on how well the person’s individual needs were met. The person had a care plan that described the type of support required and how this was delivered. The service worked alongside other professionals, including social workers and GPs. The person’s capacity to make choices had been considered in line with the Mental Capacity Act 2005 (MCA). We saw evidence from the person’s care records that care workers asked for permission before attending to the person’s needs. Care workers were supported to have the skills and knowledge to carry out their role. Care workers had received regular training and support.

Feedback from relatives showed the person was treated with respect. Their privacy was maintained. The person’s individual preferences were respected. Care workers had a good understanding of protecting and respecting the person’s human rights. They were aware of the importance of respecting the person’s values, beliefs and cultures.

The person received person centred care. They had been involved when their care plans were written. By involving the person, the service could deliver care that met their preferences. We discussed with the registered manager that the person’s care plan could be more detailed. There was a complaints procedure in place. Following our inspection, the registered manager told us they had commenced work to comply with the requirements of Accessible Information Standards.

Whilst audits had not been completed, there was a policy in place and a plan to complete audits once the service had more on-going activity. Due to the size of the service, we found the registered manager and the care worker to be well-informed on on-going improvements required. However, quality monitoring systems needed to be fully developed to ensure the registered manager had proper oversight of the quality and safety of the care agency.