This inspection took place on 24 July 2018. The inspection was announced.

Charis Care Solutions is registered to provide personal care support to people. At the time of our inspection the agency supported six people, five of whom were in receipt of support with personal care and employed three care workers. The service is located in Coventry in the West Midlands.

This service is a domiciliary care agency. It provides personal care to people living in their own homes, including, older people, younger adults, people living with dementia and physical and learning disabilities.

This was the first inspection of Charis Care Solutions since their registration with us in June 2017.

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. The provider is the registered manager of this service and will be referred to as ‘the provider’ throughout this report.

The provider needed to further develop their knowledge and understanding of their regulatory responsibilities to ensure their policies and procedures were up to date, safe recruitment practices were consistently followed and quality monitoring systems were always effective. People and relatives were encouraged to share their views about the service to drive forward improvement.

People and relatives were very satisfied with the service they received and the way the service was managed. People and relatives were provided with information about how to make a complaint. No complaints had been received by the service. People’s medicines were managed safely.

People felt safe with their care workers and there were enough care workers to provide all planned care calls, at the times expected and for the length of time needed. The management team and care workers understood how to protect people from abuse and their responsibilities to raise any concerns.

People’s care records were personalised and most informed care workers how people wanted their care and support to be provided. People and, where appropriate, relatives were involved in developing and reviewing planned care.

Care workers had a good understanding of the needs and preferences of the people they supported. People who required support had enough to eat and drink and were assisted to manage their health needs. The provider and care workers worked with other professionals to support people to maintain their health and well-being.

People and relatives spoke highly of care workers attitudes, reliability and were confident care workers had the knowledge and skills needed to meet their needs. Care workers completed some training, including on-going training to provide them with the knowledge and skills need to meet people’s needs. Further training was being planned.

Care workers were inducted into the service and received regular management support through individual and team meetings. The provider was in the process of reviewing their induction to ensure it reflected nationally recognised guidance. Care workers felt valued and enjoyed working at Charis Care Solutions.

People’s privacy and dignity was respected and their independence promoted. The provider understood the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Care workers had not completing further MCA training since starting work at the service. However, people confirmed they worked within the principles of the Act and the provider gave assurance future training was being planned.

Procedures were in place to ensure risk associated with people’s planned care were assessed. Risk management plans were up to date and provided staff with the information they needed to safely manage and reduce known risk