This inspection took place on 31 January 2019 and 6 February 2019 and was the first inspection since the service was registered with the CQC in December 2017.

Roses Healthcare is a domiciliary care agency. It provides personal care to children, younger adults and older people living in their own houses and flats in the community. Not everyone using this service receives the regulated activity; The Care Quality Commission (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.

On this inspection we were unable to provide the service with a rating. This is because the service had not been providing care and support to enough people over a long enough time period for us to review.

The service had 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 received care from the provider who was kind, caring and passionate about providing the care and support people required.

The provider and the registered manager had the skills and knowledge to provide the care and support to the person using the service.

People had care plans that were personalised to their individual needs and wishes. Records contained detailed information to assist staff to provide care and support in an individualised manner that respected each person's individual requirements and promoted treating people with dignity.

People's health and well-being was monitored and they were supported to access health professionals in a timely manner when they needed to. People were supported with their dietary requirements and experienced caring relationships with staff. The provider and registered manager had appropriate medication training and administered medicines in accordance with their policies and procedures.

The provider and registered manager understood their responsibilities to safeguard people and knew how to respond if they had any concerns. Care plans contained risk assessments which gave instructions to staff how to mitigate risks; these enabled and empowered people to live as independent a life as possible safely.

The provider and registered manager were the only people working at the service and all support was provided by them. The provider had safe recruitment procedures in place, however because no other staff were employed we were unable to make a judgement on the safe recruitment of staff.

The provider and registered manager knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA) 2005. The provider was aware of how to make referrals to the Court of Protection if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty.

The provider had systems in place to measure the quality of the service provided. However, because only one person used the service we were unable to make a judgement the effectiveness of the systems in place.