This inspection took place on 2 March 2017 and was announced. We gave the provider 48 hours' notice that we would be visiting the service. This was because we wanted to make sure staff would be available to answer any questions we had or provide information that we needed.

We also wanted the registered manager to ask people who use the service if we could contact them. The service is registered to provide personal care and support to people in their own homes. At the time of the inspection the service was providing support and personal care to 19 people who were living in their own homes.

There was a registered manager who was present during our inspection. 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 supported by staff who had received training in how to recognise signs of abuse. Staff were aware of their responsibilities with regard to reporting any concerns and maintaining people's safety. Risks to people were assessed and updated on and the provider had systems in place to make sure staff had access to the most up to date information regarding people's needs.

For those people who were supported to take their medication, systems were in place to ensure this was done safely. Systems were in place to ensure people were supported by sufficient numbers of staff who had been recruited safely. Staff felt well supported in their role and benefitted from an induction that equipped them for their role.

Staff received regular training and specific training was sourced to ensure staff were equipped to meet people's particular health care needs. People had warm and caring relationships with the staff who supported them and described them as kind and caring. People were treated with dignity and respect, were involved in the planning of their care. People's care needs were regularly assessed and reviewed. People felt listened to and their views were sought on the quality of the care they received.

There was a system in place for investigation and recording complaints. People were confident that if they did raise concerns, they would be dealt with appropriately. People were complimentary about the registered manager and considered the service to be well led. Staff felt supported in their role and listened to. Audits were in place to assess the quality of the care and support people received.