A comprehensive inspection took place on 11 October 2018 and was announced. We gave the registered manager 48 hours' notice of the inspection because the location provides a domiciliary care service, we needed to make sure that staff would be in the office for us to speak with.

Choice Care 4 U Services Ltd provides care for people in their own homes. At the time of our inspection Choice Care 4 U Services Ltd was providing care to approximately 72 people with a range of needs including older persons, people with mental health needs and those living with dementia. People were supported with personal care as well as support for domestic tasks and shopping.

The service was last inspected in March 2016. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People receiving the service had a range of needs and told us they received personalised care at home that was caring, supported them to be as independent as possible and to live healthier lives.

People and their relatives felt safe using the service and that staff knew how to provide safe care and treatment. Risks to people’s health and safety were appropriately assessed and mitigated. Guidance was provided to staff on how to manage people's risks. Staff had a good understanding of people’s needs and staff communicated well amongst each other and with external professionals to stay up to date with any changes in a person’s needs.

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.

People continued to receive personalised care that was reliable and supported people to receive personal care in their own home. People and relatives told us they felt listened to, complaints were managed and responded to appropriately.

Staff had been trained to recognise the signs of potential abuse and knew what action to take if they suspected abuse was taking place. Safe recruitment practices were in place so that suitable staff were engaged to work in the care profession. Accidents and incidents were reported and managed appropriately.

People's medicines continued to be managed safely by trained staff. Staff supported people to prepare meals and ensured people had sufficient to eat and drink.

People and relatives told us that staff treated them with dignity, respected their privacy and made them feel comfortable and at ease with the staff.

People were involved in their care and support and were encouraged to be active in giving feedback about how the service was run. People were asked for their views about the service through surveys sent by the provider and when their care plan was being reviewed. The service demonstrated good management and leadership and staff felt supported to raise any concerns they had.

People's health needs continued to be monitored well and staff were responsive in seeking treatment. A community health professional told us staff were quick to spot changes in a person’s health and to alert the person’s GP or district nurse.

The service was well led by the deputy manager and registered manager. Governance and quality assurance systems were effective to monitor the quality of care. Staff were supported to have access to mandatory and additional training including formal qualifications.

Choice Care 4 U Services Ltd provides care for people in their own homes. On the day of our visit the service was providing care to approximately 100 people with a range of needs including older persons and those living with dementia. People were supported with personal care as well as support for domestic tasks and shopping.

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.

People received a reliable service from regular staff. There were sufficient numbers of suitably experienced staff employed to meet people’s needs. Thorough recruitment processes were in place for newly appointed staff to check they were suitable to work with people who may be at risk.

People were supported by staff to take their medicines and this was recorded in their care records. Checks were carried out to ensure staff were competent to administer medicines and that staff were following the correct procedures.

People, and their relatives, said they felt safe with the staff. There were policies and procedures regarding the safeguarding of adults. Staff were aware of the correct procedures to follow if they considered someone was being neglected or poorly treated.

Suitable training, support and induction was provided for staff so they could support people effectively. Staff told us they received regular training and that they had a good induction before they started to provide support to people.

Each person had a care plan which gave guidance to staff on supporting people safely. Risks to people were assessed and recorded. These included environmental assessments for people’s homes so staff knew any risks and what they should do to keep people and themselves safe.

Staff received training with regard to the Mental Capacity Act (MCA)) 2005 and associated legislation. People told us their care workers obtained their consent when providing care and support.

People were supported to eat and drink in line with their individual needs. The agency supported people to access healthcare professionals when needed.

People told us they were supported by staff who were kind and caring. People were able to express their views and were encouraged to be independent as possible. People said they were treated with dignity and respect. A complaints procedure was in place that enabled people to raise concerns and people were aware of this.

People said their needs were regularly reviewed and they were contacted on a regular basis to ensure that their current up to date needs were being met.

The provider had a policy and procedure for quality assurance. The registered manager and senior staff carried out checks to help to monitor the quality of the service provided. Quality assurance surveys were sent out to people, relatives and staff each year by the provider to seek their views on the service provided by Choice Care 4 U Services Ltd.