This inspection took place on 05 December 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 to people living in their own homes and we wanted to make sure the registered manager and staff would be available to meet with us.

The service currently provides care and support to 12 people within their own homes. There was a registered manager in post at the time of 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.

This was the first inspection of this service which was registered in November 2015 with the Care Quality Commission.

The registered manager had quality assurance and audit systems in place to monitor the care and support people received. People and their relatives told us that they felt safe with the service provided. There were processes and systems in place that kept people safe and protected them from the risk of harm.

People were supported to make choices and involved in the care and support they received. The registered manager had not fully implemented the Mental Capacity Act when supporting people who may have lacked capacity to make their own decisions.

Staff had undertaken training and understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. Staff had also been trained to administer medicines where needed. People were supported by staff that had been safely recruited.

People felt staff had the skills and knowledge to care for and support them well. Staff met people's individual needs and preferences when supporting them. Where appropriate, people were supported by staff to access health care professionals.

Staff were caring, and treated people with dignity and respect. People's choices and independence were respected and promoted. People felt they could speak with the registered manager about their worries or concerns and said they would be listened to and have their concerns addressed.