The inspection took place on 19, 20, 23 and 24 April 2018 and was announced. We gave the provider 48 hours' notice because the location provides domiciliary care services and we needed to be sure that someone would be in the office. Telephone calls to people who used the service and their relatives took place on 20 April 2018. Telephone calls to staff took place on 24 April 2018.

St Anne’s Community Services Leeds – DCA provides personal care to people living in their own homes; providing assistance and support to people to help them maintain and improve their independence. The service predominantly provides care and support to people who have a learning disability. At the time of this inspection, the service was providing support to 29 people.

At the last inspection, the service was rated 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.

The service had two registered managers in post. They shared this role. 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.

Why the service is rated good:

People told us they felt safe. People continued to receive care which protected them from avoidable harm and abuse. Staff had received appropriate safeguarding training and risk assessments had been developed when needed to reduce the risk of harm occurring. People were protected by safe recruitment procedures which helped to make sure only staff suitable to work with vulnerable people were employed. Systems for managing medicines safely were overall, effective. The registered managers responded swiftly to some issues we identified with the records of medicines support to ensure safe medicines management. There were systems in place to make sure managers and staff learnt from any accidents and incidents. There were enough staff to support people safely. Staff promoted good infection prevention and control practices.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. Staff understood their roles and responsibilities to seek people's consent prior to care and support being provided. Where needed, people were supported to maintain a balanced diet. People’s health needs were met well. All staff had completed a range of training and new staff completed the Care Certificate (a nationally recognised training course for staff new to care).

People spoke positively about the caring nature of staff and the support they received. People told us they were treated very well. We saw people were supported by kind and attentive staff. Staff respected people's privacy, treated them with dignity and encouraged them to be as independent as they could be. Some people’s relatives said there were occasions when they did not always get staff they knew well to provide the care for their family member. We were told this was improving and staff rotas were provided in advance most of the time.

Care records were person-centred and contained all relevant information to enable staff to provide personalised care and support. Support plans and risk assessments were updated as people’s needs changed to ensure staff were fully aware of people’s needs. People were supported to spend their time how they wanted to and were encouraged to maintain their social interests within the local community. People knew how to raise concerns if they

This inspection took place on 13 October 2015 and was announced. At the last inspection in May 2013 we found the provider was meeting the regulations we looked at.

St Anne’s Community Services Leeds – DCA provides personal care to people living in their own homes and provides assistance and support to people to help them maintain and improve their independence. The service predominantly provides care and support to people who have a learning disability.

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 and associated Regulations about how the service is run.

Overall, people we spoke with or had contact with told us they were happy with the care they received from the service. People who used the service told us they felt safe with the staff and the care and support they were provided with.

We found there were systems in place to protect people from risk of harm and appropriate recruitment procedures were in place. There were policies and procedures in place in relation to the Mental Capacity Act 2005 (MCA) and staff showed they understood how to ensure their practice was in line with the MCA.

We found people were cared for, or supported by, sufficient and appropriately trained staff. Three out of the ten people we spoke with raised some concerns about staff consistency or lateness. Staff received support to help them understand how to deliver good care; they spoke highly of their training and induction.

People told us they got the support they needed with meals and healthcare. We saw arrangements for medication were safe. People who used the service said their visit times suited their wishes and staff always stayed the agreed length of time.

Systems were in place to monitor the quality and safety of service provision and we found there were appropriate systems in place for the management of complaints.

During this visit we looked at eight people’s case files, spoke with people who used the service and their relatives and with members of staff. We also looked at the results from the, ‘Satisfaction Questionnaire’ which the service sent to people who used the service. People who used the service and their relatives reported high satisfaction levels with the care the service provided.

The service had systems in place which ensured that people's rights and wishes were respected. People who used the service and their relatives were involved in the care provided by the service. One person told us, “I’ve got a plan. The manager discussed it with me when I first started using the service. They keep adding bits to it because I need more help now than I did then. I have a meeting with them every year to see if I need more help.”

Another person told us, “’I've seen a big improvement in my son since they have been coming, they are all brilliant, I’m really pleased with them, they are like part of our family.”

The service had policies and procedures in place to reduce the risk of infection which were followed by staff.

Staff received regular supervision and training to make sure they had the skills, support and qualifications needed to provide care to people.

The service had a system in place to monitor and audit the service provided.

We spoke to four people who told us they were happy with the service. People said they could choose what activities they wanted to do. One person told us; “They’ve been a blessing.” Another person said that the carers “treat me like a human being. They’re lovely.”

People were happy with the care they received. One person told us that their carer “knows what I want and need.”

If people had any concerns or were unhappy with the service or their carer they said they would speak to the manager or deputy manager.