WeCare Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our inspection it was providing a service to 23 people.

At our last inspection we rated the service 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 ongoing 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 a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 were protected from harm and abuse through the knowledge of staff and management. Risks to people's safety were identified, assessed and appropriate action was taken to keep people safe. The service did not currently support anyone that needed help to administer their medicines.

There were always sufficient staff deployed to meet people's needs. Staff underwent relevant pre-employment checks that assured they were suitable to care for people made vulnerable by circumstances in their own homes.

Staff were supported to have the skills and knowledge to carry out their role. They had received an induction before they could provide care to people. This was followed by regular training and support. People were supported to have sufficient amounts to eat and drink. Their care plans contained information about food and drink. 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 received personalised care from staff who knew their needs and preferences. People and their relatives were involved in the planning and review of their care and support. There were arrangements in place to respond to concerns or complaints.

People were complimentary about the caring approach of staff describing them as kind, helpful and respectful. People said their dignity and privacy was protected when receiving care. People were encouraged to express their views about the care they received and felt they were listened to.

The registered manager was highly visible and regularly went to see people. The registered manager provided clear and direct leadership to staff who had a good understanding of their roles and responsibilities. There were systems to assess, monitor all aspects of the service.

Further information is in the detailed findings below

We CARE Ltd. is registered to provide personal care to people living in their own homes. There were 32 people using the service when we visited. This inspection was announced and took place 3 December 2015. The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Staff knew what action to take to ensure that people were protected if they suspected they were at risk of abuse. There were sufficient numbers of staff to provide care to the people using the service.

Recruitment procedures ensured that only suitable staff were employed to work with people using the service. Risks to people’s health, wellbeing and safety had been assessed and actions had been taken to reduce any identified risks. Arrangements were in place to ensure that people were supported and protected with the safe management of their medicines.

Staff had received training on the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This legislation sets out procedures where people do not have capacity to make day-to-day decisions and what guidelines must be followed to ensure that people’s freedoms are not unlawfully restricted.

People were supported by staff with their nutritional needs, where appropriate, during the care visits they received.

Members of staff were trained to provide effective and safe care which met people’s individual needs and wishes. Staff understood their roles and responsibilities. They were supported by the registered manager to maintain and develop their skills and knowledge through ongoing support and regular training. The staff were in contact with a range of health care professionals to ensure that care and support to people was well coordinated and appropriate.

People’s privacy and dignity were respected and their care and support was provided in a caring and patient way.

People received a service that was based on their personal needs and wishes. Changes in people’s needs were quickly identified and their care plans were amended when required. The service was flexible and responded very positively to people’s requests. People who used the service felt able to make requests and express their opinions and views. Proactive measures were in place to prevent people from becoming socially isolated. A complaints procedure was in place but no complaints had been received.  Any concerns had been dealt with to the satisfaction of clients

The provider had effective quality assurance processes and procedures in place to monitor the quality and safety of people’s care. People and their relatives were able to make suggestions in relation to the support and care provided.