Our inspection was announced and took place on 11 July 2016.

This was our first inspection of this service since it had been registered with us on 6 October 2014. The provider did not deliver a personal care service until 2016. Therefore an inspection had not been needed earlier.

The provider is registered to provide personal care and support to adults of a variety of ages including older people. People who used the service received their support and care in their own homes within the community. Nine people received personal care and support on the day. People had needs that related to old age and/or a physical disability and mild dementia.

The manager was registered with us as is required by law and was present on the day. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

The provider had not gathered all of the required information to enable them to make a judgement about potential new staff to ensure that they would be suitable to work, and support, the people who used the service. Declared health conditions, gaps in some staff previous employment and the reasons they had left their previous employment had not always been explored to determine their suitability.

Medicine management systems needed some improvement so that people would be consistently assured that they would receive their medicine safely and as it had been prescribed by their doctor.

The provider had processes in place that they and staff could follow to prevent people experiencing any mistreatment or abuse.

Risk assessments were undertaken and staff knew of the actions they needed to take to keep people safe and minimise any potential risk of accident and injury.

Staffing ensured that people were supported by staff that they were familiar with and knew of individual preferences and needs.

Staff received induction training and the day to day support they needed that ensured that they did their job safely and provided support in the way that people preferred. Staff training records showed and staff confirmed that they had received the training they required to meet people’s needs and to keep them safe.

People were enabled to make decisions about their care and they and their families were involved in how their care was planned and delivered.

Staff understood that people have the right to refuse care and that they should not be unlawfully restricted.

Staff supported people to have drinks and meals that they enjoyed and to prevent the risk of ill health.

People were cared for and supported by, staff who were kind and caring. Staff supported people to be as independent as possible.

Complaints processes were in place for people and their relatives to access if they were dissatisfied with any aspect of the service provision.

A relative and staff confirmed that the manager and the service provided was good.