We conducted an announced inspection at Belvoir Home Care on 19 October 2018. Belvoir Home Care is a domiciliary care agency, which provides care to people living in their own homes. CQC regulates the care provided, which we looked at during this inspection. On the day of our inspection, Belvoir Home Care was providing care to 29 people.

A registered manager was present during the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 last inspection on 7 December 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were supported by staff who understood the risks people could face and knew how to keep them safe. People were supported to minimise risk and promote their safety.

People were provided with their care and support when this was needed because there were enough staff to do so. People received the support they required to take their medicines at the time they needed these. People were being protected from infection because safe practices were being followed.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were provided with the support they needed to have sufficient nutritional and fluid intake. Staff understood people’s healthcare needs and their role in supporting them with these.

People were cared for and supported by staff who respected them and maintained their privacy and dignity. Where possible people were involved in planning their own care.

People received care that met their needs and they were able to participate in meaningful interaction. People knew how to raise any complaints or concerns they had and felt confident that these would be dealt with. People approaching the end of their life were supported in a caring and sensitive way at that time.

People used a service that was responsive to their needs and views. They had confidence in the registered manager who was respected and supported by staff. There were systems in place to monitor the quality of the service and make improvements when needed.

Further information is in the detailed findings below.

We inspected the service on 12 January 2016. Belvoir Home Care provides a care and support service to people who live in their own homes. This is a small service and at the time of our inspection 37 people were receiving care and support.

The service had a registered manager in place at the time of 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 protected from the risk of abuse and staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The registered manager shared information with the local authority and ourselves when needed. Our records showed we had received statutory notifications in a timely manner. Staffing levels were sufficient to support people’s needs and people received care and support at the times they required it. People received the level of support they needed to safely manage their medicines.

People were supported by staff who had been given sufficient training to provide them with the knowledge and skills to provide appropriate care and support. The Care Quality Commission (CQC) monitors the use of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The provider was aware of the principles of the MCA and how this might affect the care they provided to people. People were asked to provide their consent to the care being provided.

People received the assistance they required to have enough to eat and drink and people were supported to make appropriate referrals to health care professionals when needed. They were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate way. People who used the service, or their representatives, were encouraged to contribute to the planning of their care.

People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously.