This announced inspection took place on 4 July 2017. This was the provider's first inspection since registration in 2015.

Tameside Learning Disability Service provided personal care to people who had a learning disability in their own homes. There were 80 people using the service at the time of the inspection.

There was a registered manager in post who was unavailable on the day of the inspection. 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 who used the service received an excellent personalised service that met their individual needs and preferences. People were at the centre of how their service was run and were fully involved in the planning and developing of the service. Staff used innovative ideas and actions to improve people's quality of life and to give them outstanding opportunities in daily life.

People felt able to complain and their views were regularly sought through meetings and reviews of their care.

People were safeguarded from abuse as staff knew what constituted abuse and what to do if theysuspected abuse had taken place. The provider followed the local safeguarding procedures as appropriate.

People were supported to take risks to enhance their independence. Staff knew people's risks and followed individual risk assessments to minimise the risk of harm.

There were sufficient numbers of suitably trained staff to keep people safe. New staff were recruited through rigorous recruitment procedures to ensure they were fit to support people.

People were supported to take their medicines by staff who were trained to support them. Staff received support and training to be able to fulfil their roles effectively.

The provider followed the principles of the Mental Capacity Act 2005 by ensuring that people were consenting to their care or where they lacked mental capacity were supported by their legal representative.

People were supported to maintain good health by staff who supported them to receive the health care support they required. People's dietary needs were met and they were supported to eat and drink to maintain a balanced diet.

People were treated with dignity and respect and were fully involved in their care planning and delivery. People's right to privacy was upheld.

The systems the provider had in place to monitor and improve the service were effective and people who used the service were at the centre of how the service was run.