This inspection took place over two days on 02 and 03 May 2018 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because the service provides domiciliary care to people living in their own homes and we wanted to make sure staff would be available. At the last inspection on 18 and 25 November 2016, we rated the provider ‘Requires improvement’ under the key questions of Safe, Effective and Well-led. During this inspection, we found there had been a significant improvement and we have rated this service ‘Good’ in all five key questions.

Aman Care Limited is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of the inspection the service supported 115 people.

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 our previous inspection in November 2016 we rated the service as 'Requires Improvement' because systems were not effective to assess the quality of the service provided. People were not always supported by staff that had been suitably recruited, or received adequate supervision and training. Although some staff had received training to know what abuse was and how to report any concerns; some staff told us they would record this information within the daily notes. This had the potential to put a person at risk of further harm. Some risks were assessed but staff did not have the information available to refer to in relation to people's medical conditions. Not everyone felt that the provider acted in a timely way when dealing with complaints. On this inspection we found improvements had been made and the overall rating for the service was now Good.

The provider had improved their quality assurance systems and effective quality audit checks were in place and completed regularly to monitor the quality of the service provided. People were happy to recommend the service to family and friends based on their own experiences. The provider had taken steps to ensure they were kept up to date with current legislative practices. People said the service was well run.

The registered manager was passionate about providing person centred care. The leadership within the service had improved and was strong and an open and a positive culture was promoted. Staff said there had been improvements and felt valued and listened to by the provider. Staff were confident in their roles and were aware of their responsibilities and said they had access to support and training they needed.

People felt safe in their homes with staff. Relatives were confident their family members were kept safe. Staff knew what action they would take if they thought a person was at risk of harm. Risks to people were assessed and people were supported by staff that was provided with guidance on how to manage people’s specific medical conditions.

People were supported by sufficient numbers of staff that had been safely recruited. Staff were trained to support people with their medicines if needed. Staff members were equipped with sufficient personal protection equipment to reduce the risk of infection and cross contamination when supporting people with their personal care.

Staff were trained to ensure that they had the skills to support people effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were able to make decisions about how they wanted to receive support to ensure their health needs were met. Where appropriate, people that required assistance to eat and drink were effectively supported to do

This inspection took place on 18 and 25 November 2016 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because the service provides domiciliary care and we wanted to make sure staff would be available. Amancare is a domiciliary care agency registered to provide personal care to people living in their own homes.

At our last inspection of 18 and 22 September 2015 we found that the quality monitoring of the service was not sufficient to ensure that any shortfalls in the service were identified as part of the providers quality assurance monitoring systems was addressed in a timely manner. As a result we issued a requirement notice to the registered manager informing them they were required to make improvements. Although some improvement had been made further improvement are required.

There was a registered manager in post who was also the registered provider. 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.

Systems were not effective to assess the quality of the service provided. some audited had taken place that identified were improvement were required and an action plan had been put in place to address the shortfalls. The registered manager /provider had recruited an independent consultant to provide advice and introduce an effective system to enable them to make improvements to the service provided.

People were not always supported by staff that had been suitably recruited, or received adequate supervision to ensure they were aware of best practice. Although some staff had received training to know what abuse was and how to report any concerns to the registered manager some staff were unclear where to record the information so people were protected from any repercussion after raising concerns. People were supported to take their prescribed medicines by staff that had been trained.

Some risks were assessed but staff did not have the information available to refer to, if needed, in relation to people’s medical conditions. Staff were not always trained in key areas, for example, supporting people living with dementia. Staff had received some training but did not always feel this gave them the skills and knowledge they needed to effectively meet people’s needs.

Staff was caring and treated people with dignity and respect. People’s choices and independence was respected and promoted. We saw that staff responded to people’s support needs. People and their relatives felt they could speak with the provider about any worries or concerns and felt they would be listened too. However; not all relatives felt that the registered manager acted in a timely manager and felt this was an area for improvement.

People had choices offered to them about what they wanted to eat and drink. People said staff were kind to them and involved them in making decisions about their care and maintained their dignity and independence. People were supported to maintain their health and family members were involved if any concern were identified so that appropriate healthcare professionals could be informed.

The inspection took place on 18 and 22 September 2015 and was announced. We told a representative of the provider two days before our visit that we would be visiting to ensure that there would be someone available to assist us with the inspection. This is the first inspection since changing location in July 2014.

Aman Care provides a domiciliary care service for 37 people. Some people’s care was funded through the local authority and some people purchased their own care.

There was a Registered Manager in post, but they were not available during the inspection. 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

All staff spoken with knew how to keep people safe from abuse and harm because they knew the signs to look out for. Where incidents had occurred the provider took action to help in reducing re occurrences.

People were protected from unnecessary harm because risk assessments had been completed and staff knew how to minimise the risk when supporting people with their care.

There was enough staff that were safely recruited, however not all training had been completed to ensure that they had up to date knowledge in recent legislation.

People were supported with their medication and staff had been trained so people received their medication as prescribed.

People were able to make decisions about their care and were actively involved in how their care was planned and delivered.

People were able to raise their concerns or complaints and these were thoroughly investigated and responded to. People were confident they were listened to and their concerns taken seriously.

Staff supported people with their nutrition and health care needs and referrals were made inconsultation with people who used the service if there were concerns about their health.

Processes were in place to monitor the quality of the service provided but was not effectively used as a learning process to improve the service.