This was an announced inspection which took place on 11 July 2018.

Superb Healthcare Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. It currently provides a regulated activity to 13 people with various needs.

This was the first inspection of the service which was registered on 12 July 2017.The service was rated as good in four domains and requires improvement in safe. This means the service is overall good.

Why the service is good.

There was a registered manager running the service. 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, staff and visitors were generally protected from any form of harm and their safety was carefully considered. Any risks were identified and action was taken to reduce them, as far as possible. However, some risk assessments lacked enough detail to support staff to offer the safest care.

Staff had been trained in safeguarding vulnerable adults and health and safety policies and procedures and understood how to protect the people in their care. People were prompted or reminded to take their medicines which they retained responsibility for. People were supported by care staff who had been safely recruited although there were some omissions in recruitment records.

The service made sure there were enough suitable staff to meet people’s needs safely and effectively. People were provided with the correct amount of staff time to meet the needs stated in their individual packages of care.

People were supported by care staff who had been appropriately trained and supported to enable them to meet people’s varied needs. Care staff were effective in meeting people’s needs as described in plans of care. The service worked closely with health and other professionals to meet people’s specific needs.

People were assisted to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People were supported by a caring staff team. Care staff built relationships with people and knew their needs. People were encouraged to be as independent as they were able to be.

Care staff were responsive to individual’s needs. People’s needs were reviewed regularly to ensure the care provided was up-to-date. Care plans included information to ensure people’s individual communication needs were understood. We made a recommendation relating to person centred care planning.

The registered manager was described as very approachable and supportive. The registered manager and the staff team were committed to ensuring there was no discrimination relating to staff or people in the service. The service assessed, reviewed and improved the quality of care provided, as necessary.