We last carried out a full inspection at this service on 12 and 13 April 2016 when we found that the provider was not meeting regulations regarding the recruitment of staff and governance. We carried out a follow up inspection on 08 September 2016 to look at whether the required actions had been taken to address these issues. At that inspection we found that the appropriate actions had been taken to ensure that the requirements of the law were being met, however further improvements were needed in respect of the governance of the service. At this inspection which took place on 22 June 2017 we found that the registered provider had continued to make improvements to the governance of the service.

The inspection we carried out on 22 June 2017 was announced. We gave the provider 48 hours’ notice of our intention to undertake an inspection. This was because the organisation provides a domiciliary care service to people in their homes; we needed to be sure that someone would be available at the office.

At the time of our inspection there were 32 people who were receiving a service.

At the time of our inspection there was 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 managers, 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 people felt safe with the staff that supported them. Staff were knowledgeable about the actions they needed to take to protect people from harm. Risks associated with people’s needs were managed safely. There were sufficient numbers of suitably recruited staff to meet people’s needs. People received appropriate support to ensure they received their medicines as prescribed.

People received support from staff that were trained and supported to provide appropriate care. People were supported to maintain choice and control over their lives as far as possible so that their human rights to consent to care were maintained. People received support to have food and drink that met their nutritional and cultural needs and support was available to have their health needs met, where required.

People and their relatives were complimentary about the staff that supported them. Staff cared for people in a caring and sensitive manner and people were supported to remain as independent as possible.

People and their relatives knew how to raise any concerns they had and there were systems in place to gather the views of people to ensure they were happy with the service they received. Systems were in place to monitor the quality of the service.

This inspection took place on 8 September 2016. We last inspected this service on 12 and 13 April 2016 when we found improvements were needed in the checks undertaken when staff were employed and how the quality of the service was being monitored and improved. We carried out this inspection to check that improvements had been carried out.

This inspection was announced and carried out by two inspectors.

All Care in One Ltd is a domiciliary care service providing support to people in their own homes. At the time of our inspection there were 17 people who were receiving a service.

There was a registered manager in post when we inspected. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered managers, 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.

At the inspection we only looked at whether the service had made improvements in the recruitment process and the quality monitoring of the service.

We saw that some improvements had been made to the systems in place for monitoring and improving the quality of the service but the systems were not fully embedded and further improvements were needed. This was an on-going breach of regulations.

We found that all the appropriate checks were being undertaken to ensure that only people suitable to work with people in their own homes were being employed.

You can see what action we have asked the provider to take at the end of the report.

This inspection took place on 12 and 13 April 2016. This was the first inspection of this service as it had moved location.

Before our inspection we had received some concerns regarding the management of the service so we decided to bring our scheduled inspection forward and carry out an unannounced inspection.

All Care in One Ltd provides a domiciliary care service to people in their own homes. There were 19 care packages in place at the time of our inspection.

There was 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.

At the time of our inspection we found that the registered provider was not always fulfilling their responsibilities to ensure that people were kept safe from harm through the operation of systems and procedures that protected people. This was because sufficient checks had not been undertaken to ensure that staff had been safely employed by the service. This was a breach of regulations.

The systems in place for monitoring and improving the quality of the service were not sufficient to enable shortfalls to be identified and for the appropriate actions to be taken to improve the service and ensure the safety of people receiving care. People’s information was not always kept safe and secure. This was a breach of regulations. This was a breach of regulations.

You can see what action we told the provider to take at the back of the full version of the report.

People were generally happy with the service provided by caring staff but there were some missed and late calls and people did not always feel respected and valued because of this.

People were protected from abuse and harm because staff had the skills to identify abuse and escalate concerns they had.

People were cared for by staff that had the skills, support and knowledge to do so.

People’s privacy and dignity was maintained by staff providing personal care.

Systems were in place to gather the people’s views and people felt confident they could raise any concerns they may have and they would be listened to.