This inspection took place on 21 November 2018. Starline 2000 Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a personal service to both older adults and younger disabled adults. At the time of this inspection the service was providing personal care to one person. Therefore, we were not able to rate the service against the characteristics of inadequate, requires improvement, good and outstanding. This was the first inspection of the service since they registered in December 2017.

The service had 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.

The registered manager and nominated individual were aware of their CQC registration requirements including submitting notifications of significant incidents.

Risk assessments were in place and detailed actions to reduce identified risks to the person using the service. Staff were trained in safeguarding and understood signs to recognise abuse and how to report their concerns. Staff knew how to report incidents and accidents. Staff followed infection control procedures. There were systems in place for the safe management of people’s medicines. However, no one was being supported with their medicines when we visited.

Recruitment checks were carried out to ensure staff employed to work with people were suitable to do so. There were sufficient numbers of staff available to support the person using the service. Staff were supported through induction, supervision and training to provide appropriate care to people. Staff received the direction and guidance to do their jobs.

People’s needs were assessed before they started using the service. The person using the service. had care plans in place which set out how their needs and requirements would be met. The person using the service and their relative were involved in planning and reviewing their care. The person using the service was supported to eat and drink appropriately and to meet their dietary and nutritional requirements. Staff supported the person to access healthcare services where required.

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. People consented to their care before it was delivered. Staff and the provider understood their responsibilities within the Mental Capacity Act 2005.

Staff treated people with respect and consideration. The person using the service’s dignity and privacy was respected by staff. Staff supported the person to follow their religious and cultural beliefs. The registered manager had experience in delivering end-of-life care. However, no one was receiving this service when we visited.

The relative we spoke with told us they knew how to raise their concerns and complaints about the service if they wished. The provider regularly assessed and monitored the quality of service provided to the person using the service. The registered manager visited the person and their relative to obtain their feedback about the service. Staff were given the guidance, and support they needed to fulfil their roles effectively.

The provider had a business plan in place and they were seeking ways to grow, develop and sustain the business. The service was a small and was not working in partnership with other organisations when we visited.