This inspection took place on 6 April 2017. It was an announced visit to the service.

This was the first inspection since the provider registered with the Care Quality Commission (CQC) to provide personal care to people. The services supported people who lived in their own homes in the North Buckinghamshire area. The registered office is based in the village of Longwick. At the time of the inspection the service was supporting 25 people.

The service 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 received positive feedback from people who were supported by the service. Comments from people included “They are fabulous I trust them with my life,” “They're wonderful we've been very satisfied regular same two staff ladies” and “It’s been fantastic quality people thoroughly professional kept up to date we have regular carers.”

People were protected from abuse and avoidable harm as care workers were aware of how to recognise abuse and what to do if a concern was raised.

Care workers felt supported and had access to training to ensure they provided effective care. People told us they felt the care workers were well trained. One person told us “They are well trained they seem to know what they're doing I'd recommend them.”

People were involved in their care, and the registered manager tried to drive improvements through seeking feedback from people. However other systems in place to monitor the effectiveness of the service did not always pick up where improvements could be made. We have made a recommendation about this in the report.

People told us care workers were respectful when providing care. Care workers were aware of how to provide a dignified service. People told us “Yes they respect my privacy and dignity, if I'm getting washed they close the curtain and keep me covered and ask permission to do things” and “

“If they are helping me with personal care and someone comes to the door the ask them to come back later in twenty minutes. They always keep me covered.”

People were supported by care workers that had been recruited in a safe way. Care workers had support through a robust induction process.

People told us the care plan was personalised and reflected their current needs. They told us the care plans were regularly reviewed to ensure they were kept up to date. People told us they were involved in the review meetings and felt they were able to contribute to assessments and planning of their care. One person told us “Any changes are made once a month and the big review is once a year.”