This inspection took place on 12 and 13 December 2016 and was announced. The service had been registered with us previously and was rated as Good. There has been a change to the provider’s legal entity and this was the first inspection since this service was re-registered in July 2015.

Care Wish is a domiciliary care service registered to provide personal care to people within their own homes. They provide support to people on a long term basis and to people who have been discharged from hospital and who receive a re-enablement service. At the time of our inspection 72 people were using the service.

The service had a registered manager. 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.

Staff had received training and were aware of the types of abuse people may be at risk of and knew the actions to take if they suspected someone was at risk of harm. Recruitment processes were in place to reduce the risk of unsuitable staff being employed by the service. People were supported with their medication by staff who had received training in how to do this.

Staff received an induction and on-going training to ensure they had the skills and knowledge for their role. People were supported with meals where required and staff had knowledge of people’s dietary requirements. People and relatives told us that staff sought consent before providing care. Staff had an awareness of the Mental Capacity Act (2005) and knew how to support people to make their own decisions. Staff monitored the health and wellbeing of people and knew the action to take if someone became unwell.

People and their relatives told us that staff were kind and treated them with dignity. People and their relatives were involved in planning for their care and were involved in reviews to ensure the support provided continued to meet their needs.

A complaints system was in place and where complaints had been made these had been investigated by the registered manager and action had been taken to make improvements where required.

People, their relatives and staff spoke positively about the registered manager and the leadership of the service. Feedback was sought from people, their relatives and staff and where issues had been raised, these were listened to and action taken to make any required improvements. Systems were in place to monitor the quality of the service provided.