This inspection took place on the 21 June 2017 and was announced.

Tonna Care Services Limited is a domiciliary care agency predominantly providing a supported living service to people. A range of support is provided to people living in their own homes, some of whom share accommodation with others. The service supports mainly people with a learning disability and associated needs. At the time of the inspection the service was providing personal care to approximately 74 people.

There was a registered manager for 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 and their relatives told us that they felt safe with staff and would be confident to raise any concerns they had. The provider’s recruitment procedures were robust, medicines were managed safely and there were sufficient staff to provide safe, effective care.

There were procedures in place to manage risks to people and staff. Staff were made aware of how to deal with emergency situations and knew how to keep people safe by reporting concerns promptly through processes that they understood well.

New staff received an induction and spent time working with experienced members of staff prior to working alone with people. Staff were supported to receive the training and development they needed to care for and support people’s individual needs.

People and their relatives said they felt listened to and the majority were happy with the service provided. They told us that staff treated them with kindness and respected and involved them in decisions about their care.

People’s needs were reviewed and updated regularly. Individual care plans were in place which provided information about people’s care needs and they were specifically designed to promote person-centred care. Up to date information was communicated to staff to ensure they provided appropriate care. People were supported to contact healthcare professionals in a timely manner if there were concerns about their wellbeing.

People and their relatives told us they had been asked for their views on the service and were able to raise concerns and complaints if they needed to. They felt confident that staff and members of the management team would take action if necessary.

The provider had an effective system to regularly assess and monitor the quality of service that people received. There were various formal methods used for assessing and improving the quality of care. Feedback was sought from people, their relatives and health and social care professionals and care records were audited. Complaints were addressed and action was taken according to the provider’s policy.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were supported and encouraged to make as many decisions for themselves whenever they were able. Access to community facilities and spontaneous outings were possible due to the nature and size of the supported living service.