This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our inspection it was providing a service to 81 older adults.

Not everyone using Careful Care Limited receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

We heard positive comments about the service. People’s relatives told us they were, “Really happy” and “Very pleased” with the service provided.

At our previous inspection in October 2015 the service was rated “Good”. At this inspection we found the service remained “Good”.

Careful Care Limited 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.

People were protected from harm and abuse through the knowledge of staff and management. Risks to people's safety were identified, assessed and appropriate action was taken to keep people safe. Sufficient staff were deployed to meet people’s needs and improvements to staff recruitment procedures were in progress.

People were treated with respect and kindness. Their privacy and dignity was upheld and they were supported to maintain their independence.

People were supported by staff who had training and support to maintain their skills and knowledge to meet their needs. People were supported to have maximum choice and control of their lives and staff support in the least restrictive way possible; the policies and systems in the service supported this practice.

People received personalised care from staff who knew their needs and preferences. People and their relatives were involved in the planning and review of their care and support. There were arrangements in place to respond to concerns or complaints. Care was provided for people at the end of their life.

Quality assurance systems were in operation with the aim of improving the service in response to people's needs. A survey had been completed to gain the views of people and their relatives about the service provided. The management were approachable to people using the service, their representatives and staff.

Further information is in the detailed findings below.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This inspection took place on 1 October 2015 and was announced. Careful Care Limited provides domiciliary care services to people who live in their own home. At the time of our inspection there were 24 people with a variety of care needs, including people with physical disabilities, Parkinson's and the early onset of dementia 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 and associated Regulations about how the service is run.

Everyone we spoke with was complimentary about the service. People spoke highly about the care staff and valued having regular care staff which enabled them to build caring relationships. People and their relatives spoke positively about the registered manager.

There was a positive caring culture, promoted by the registered manager. Staff were passionate about providing high quality care and clearly enjoyed supporting people. Care staff felt supported by the registered manager, describing them as approachable and supportive both personally and professionally.

Staff were knowledgeable about the people they supported and had access to development opportunities to improve their skills. Staff received specific training where it was required to support individual needs.

People's needs were assessed and where any risks were identified, management plans were in place. People were supported in a way that recognised their rights to take risks. People's care was personalised to their needs.

The service was responsive to people's changing needs and made sure people had their visits when they needed. Staff ensured people's relatives were informed of any concerns. Staff were trained to identify when people's needs had changed.

There were systems in place to enable the service to gather feedback from people. Quality assurance systems were in place to enable the service to identify areas for improvement. People and their relatives were asked for their views.