This inspection took place on 7, 8, 12 and 19 September 2017 and was announced. The inspection was announced to ensure that the registered manager or appropriate person would be available to assist with the inspection.

Care Outcomes UK Ltd is a domiciliary care provider registered to provide personal care to people in their own homes. At the time of inspection the service was providing support and care for 11 people, with six people supported with personal care.

The service had a registered manager in place. 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 the last inspection, the service was rated good. At this inspection we found the service remained Good.

People and relatives were positive about the care and support provided. People received a continuity of care with the same regular carers who were described as well trained, professional and extremely caring.

The service was adaptable and responsive to people’s individual needs and preferences, enabling people to live as full a life as possible. The service ensured people’s cultural and religious needs were met. Information was provided, in a range of accessible formats, to assist people in understanding the care available to them.

The registered manager was passionate about providing a high quality service. Feedback from people, relatives and staff was continually sought. People and relatives told us they could voice their views and that they felt listened to.

Processes and procedures were in place to ensure people were protected from abuse and harm. Staff were confident that if concerns were reported the incidents would be investigated. A robust recruitment and selection process was in place. Medicines were managed safely.

The service ensured appropriately skilled and well trained staff were deployed to support people. People were supported to maintain good health and had access to healthcare professionals.

People were 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 and relatives told us staff were caring and compassionate. People were supported to maintain their independence in a kind and caring manner. Staff supported people to achieve their goals. Staff were always mindful of ensuring people received care and support in a dignified and respectful way.

Staff were knowledgeable about the people they supported. They were aware of their preferences, interests and family structure. People and relatives were involved in the decision making about their care and treatment.

Care plans were thorough and detailed and included clear information for staff to make sure each person’s specific needs were met.

This was an announced inspection which took place over two days, 16 and 18 June 2015. The last inspection took place on 30 July 2013. At that time, the service was meeting the regulations inspected.

Care Outcomes UK Ltd is a domiciliary care service that is registered for the regulated activity of personal care and nursing care. The service provides care and support to people in their own homes. At the time of inspection the service was meeting the needs of 11 people.

There was a registered manager in post since first registration in 2013. 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 found that people’s care was delivered safely and in a way of their choosing. They were supported in a manner that reflected their wishes and supported them to remain as independent as possible. Where people’s needs could not be met safely or effectively, work was declined.

People’s medicines were managed well. Staff watched for potential side effects and sought medical advice as needed when people’s conditions changed. People and their family carers were supported to manage their own medicines if they wished.

Staff felt they were well trained and encouraged to look for ways to improve their work. Staff felt valued and this was reflected in the way they talked about the service, the registered manager and the people they worked with.

People who used the service were matched up with suitable staff to support their needs, and if people requested changes these were facilitated quickly. People and relatives were complimentary of the service, and were included and involved by the staff and registered manager. They felt the service provided meet their sometimes complex needs.

There were high levels of contact between the staff and people, seeking feedback and offering support as people’s needs changed quickly. People and their relatives felt able to raise any questions or concerns and felt these would be acted upon.

When people’s needs changed staff took action, seeking external professional help and incorporating any changes into care plans and their working practices. Staff worked to support people’s long term relationships and kept them involved in activities that mattered to them. Relatives thought that staff were open and transparent with them about issues and sought their advice and input regularly.

The registered manager was seen as a good leader, by both staff and people using the service. They were trusted and had created a strong sense of commitment to meeting people’s diverse needs and supporting staff.