The inspection took place on 23 May 2017 and was announced.

Care Purbeck provides domiciliary health and social care support services to people in their own homes. The agency provides care and support people who are elderly and people diagnosed with dementia. At the time of our inspection there were 12 people receiving personal care from the service. There was a central office which was based at the providers home where the registered manager and supervisor worked from.

The service had a registered manager in place. 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 and staff told us that the service was safe. Staff were able to tell us how they would report and recognise signs of abuse and had received training in safeguarding adults.

Care plans were in place which detailed the care and support people needed to remain safe whilst having control and making choices about how they lived their life. Each person had a care file which also included guidelines to make sure staff supported people in a way they preferred. Risk assessments were completed, regularly reviewed and up to date.

Medicines were managed safely, securely stored in people’s homes, correctly recorded and only administered by staff that were trained to give medicines.

Staff had a good knowledge of people’s support needs and received regular mandatory training as well as training specific to their roles for example, oral suction, nebulisers and pressure area care.

Staff received regular supervisions and annual appraisals which were carried out by the registered manager. We reviewed records which confirmed this.

Staff were aware of the Mental Capacity Act and had received training in this.

People were supported to eat and drink enough whilst maintaining a healthy diet. Food and fluid intake was recorded for those who were under monitoring for this.

People were supported to access healthcare services as and when required and staff followed professional’s advice when supporting people with ongoing care needs.

People told us that staff were caring. People said they felt comfortable with staff supporting them. People told us that staff treated them in a dignified manner. Staff had a good understanding of people’s likes, dislikes, interests and communication needs. This meant that people were supported by staff who knew them well.

People had their care and support needs assessed before using the service and care packages reflected people’s needs in these. We saw that these were regularly reviewed by the management with people, families and other health and social care professionals where appropriate.

The service had systems in place to capture and respond to people’s feedback. People were asked if they were happy with the support they are receiving and if they would like any changes made during people’s regular review meetings.

There was a system in place for recording complaints which captured the detail and evidenced steps taken to address them. We saw that there were no outstanding complaints in place.

Staff, people and families told us that the thought the management was good at Care Purbeck. We found that the registered manager delivered support and promoted an open working environment and was flexible.

We saw that quality monitoring across the service took place regularly by the registered manager, and supervisor. These captured comments and actions were taken.