We carried out an announced inspection of the service on 16 and 17 November 2017. CCT Community Enablement Team is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It currently provides a service to older and younger disabled adults. Not everyone using CCT Community Enablement Team 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.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

A registered manager was present during the inspection. 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.

CCT Community Enablement Team currently supports 37 people, 18 of which receive some element of support with their personal care. Our inspection and the findings within this report refer only to the 18 people who receive support with personal care. This is the service’s first inspection under its current registration.

People were protected against the risks of experiencing avoidable harm. Staff could identify the potential signs of abuse and knew who to report any concerns to. Regular assessments of the risks to people’s safety were carried out and care plans put in place to enable staff to support people safely. People were supported by an appropriate number of staff who were punctual and stayed for the agreed amount of time. Safe recruitment procedures were in place. People received minimal support with their medicines, but where support was offered, staff did so safely. Assessments of the environment people lived in where carried out to ensure they were safe. Accidents and incidents were regularly reviewed, assessed and investigated by the registered manager.

People’s physical, mental health and social needs were assessed and provided in line with current legislation and best practice guidelines. People were supported by staff who had completed a detailed induction and training programme and had their performance regularly reviewed. Staff felt supported by the registered manager. People received minimal support with their meals but where staff support was needed this was done so effectively. The registered manager had built effective relationships with external health and social care organisations and people’s health was regularly monitored. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice, however clearer documentation was required to ensure all decisions made clearly evidenced that they were in each person’s best interest.

People felt staff were caring, treated them with respect and dignity and listened to what they had to say. Staff took the time to talk with people and showed a genuine interest in building positive relationships. Staff were knowledgeable about their needs and people were involved with making decisions about their care. People’s diverse needs were respected. People were encouraged to lead as independent a life as possible. People were provided with information about how they could access independent advocates.

People led active and fulfilling lives with the support and dedicated staff. People and their relatives were involved with agreeing the level of care and