This inspection took place on 4 April 2017 and was announced. AMG Nursing and Care Services provide specialist nursing care and personal care for people of any age in their own homes. At this inspection they were providing care and support for 78 people.

A registered manager was in post and present during our 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.

People were safe from harm as staff had been trained and knew how to recognise and respond to signs of abuse. Staff had access to care plans and risk assessments and knew how to protect people from risks of harm associated with their care. Any incidents and accidents were thoroughly investigated to identify any trends and learning. This minimised the risk of reoccurrence.

The provider completed checks on staff before they started work to ensure they were safe to work with people. People received support with their medicine from staff who were trained to safely administer or prompt people to take it. The provider undertook regular competency checks on staff to ensure they followed safe practice when supporting people with their medicine.

People were supported by staff that had the skills and knowledge to meet their needs well. Staff attended training that was relevant and specific to the people they supported. Staff received support and guidance from a management team who they found approachable. Staff members felt listened to by the provider and that their suggestions and experiences mattered to them.

People were involved in decisions about their care and were involved in the planning of their support. People had information they needed in a way they understood. When people could not make decisions for themselves staff understood the steps they needed to follow to ensure people's rights were upheld.

People had good relationships with the staff who supported them. Staff knew people's personal likes and dislikes and things that were important to them. People had their privacy and dignity respected and information personal to them was treated in confidence.

People were supported to have access to healthcare when they needed it. Staff responded to any changes in need promptly and consistently.

People and staff felt able to express their views and felt their opinions mattered. People felt able to raise any concerns and were confident these would be investigated. People received feedback after any concerns were raised. The provider undertook regular quality checks in order to improve the service. The provider engaged people and their families and encouraged feedback.