This inspection took place on the 5 January 2017 and was announced.

Bramble Home Care (Tewkesbury) carry on the regulated activity 'personal care' supporting adults with varying care needs to remain in their own homes.

Bramble Home Care (Tewkesbury) had 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.

We heard positive comments about the service such as “Very good”, “No concerns at all, very happy” and “I’m very pleased with them. They have never missed a call and rarely late”.

People were enabled to live safely; risks to their safety were identified, assessed and appropriate action taken. People's medicines were safely managed. People were protected from the risk of being cared for by unsuitable staff because robust recruitment practices were operated.

People were satisfied with their support and the approach and effectiveness of staff. People's individual needs were known to staff who had achieved positive relationships with them. People were treated with kindness and their privacy and dignity was respected.

Staff received support to develop knowledge and skills for their role and were positive about their work with people. The registered manager was accessible to people using the service and staff. Systems were in place to check the quality of the service provided including gaining the views of people who used the service.