Wisdom Support Services Ltd is a domiciliary care agency. It provides personal care to people living in their own homes in the community. Not everyone using Wisdom Support Services Ltd receives the regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection the provider was providing personal care to two people.

This inspection took place on 20 April 2018. We gave the provider 2 days’ notice of the inspection as we needed to make sure the manager would be available. At our last inspection on 11 and 14 April 2016 the service was rated Good. At this inspection we found the service remained Good. The service demonstrated they continued to meet the regulations and fundamental standards.

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.

Appropriate recruitment checks took place before staff started work. The service had safeguarding and whistle-blowing procedures in place and staff had a clear understanding of these procedures. There was enough staff available to meet people’s care and support needs. Risks to people had been assessed and reviewed regularly to ensure their needs were safely met. Medicines were managed appropriately and people were receiving their medicines as prescribed by health care professionals.

Staff completed an induction when they started work and they received training relevant to people’s needs. They had received training in infection control and food hygiene and they were aware of the steps to take to reduce the risk of the spread of infections. Assessments of people’s care and support needs were carried out before they started using the service. People’s care files included assessments relating to their dietary support needs. 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 support this practice.

Staff treated people in a caring, respectful and dignified manner. People and their relatives had been consulted about their care and support needs. People could communicate their needs effectively and could understand information in the current written format provided. People and their relatives said they were confident their complaints would be listened to and acted on. Staff said they would support people according to their diverse needs. There were systems in place to provide people with end of life care and support if and when it was required.

The provider recognised the importance of monitoring the quality of the service provided to people. They took people’s views into account through telephone monitoring calls, spot checks and satisfaction surveys. Staff said they enjoyed working at the service and they received good support from the registered manager. There was an out of hours on call system in operation that ensured management support and advice was always available for staff when they needed it.

This inspection took place on 11 and 14 April 2016 and was announced. This was our first inspection of Wisdom Support Services Ltd at this location. Wisdom Support Services Ltd is a domiciliary care agency that provides personal care and support for people living in their own homes. At the time of this inspection they were providing personal care to 12 people.

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 and associated Regulations about how the service is run.

People said they felt safe and staff treated them well. The service had appropriate safeguarding adults procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work. There was a whistle-blowing procedure available and staff said they would use it if they needed to. People were supported, where required, to take their medicines as prescribed by health care professionals.

The manager had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. Staff had completed an induction when they started work and they were up to date with their training. People had access to health care professionals when they needed them.

People had been consulted about their care and support needs. Care plans and risk assessments provided information for staff on how to support people to meet their needs. People’s care files included assessments relating to their dietary support needs. People were aware of the complaints procedure and said they were confident their complaints would be listened to, investigated and action taken if necessary.

Staff said they enjoyed working at the service and they received good support from the manager. They said there was an out of hours on call system in operation that ensured management support and advice was always available when they needed it.

The provider recognised the importance of monitoring the quality of the service provided to people. They took into account the views of people using the service through telephone monitoring calls and satisfaction surveys. The manager carried out unannounced spot checks to people’s homes make sure people were supported in line with their care plans. We saw a new quality monitoring form which the provider planned to use to monitor the quality of the service that people received. We were not able to assess the impact of the new system on people's care as the system was not in place at the time of inspection. We will assess this at our next inspection of the service.