Civicare Central is regulated to provide personal care and support, including nursing care, to people living in their own homes. There were 80 people receiving services for which CQC registration was required at the time we inspected, including older people and children.

Not everyone using Civicare 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.

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.

People we spoke with told us that they felt safe when staff entered their home and that staff knew how to support them. Staff were able to tell us of the needs of the people they provided care for and their roles and responsibilities in keeping people safe.

There were sufficient numbers of suitably qualified staff, who had a good understanding of protecting people from the risk of abuse. Medicines were administered by staff that had received training to do so.

The provider had procedures in place to check that people received their medicines as prescribed to effectively and safely meet their health needs.

People told us they received reliable care from a regular team of staff who understood their likes, dislikes and preferences for care and support and that they were kept informed of any changes.

Staff supported people to make their own choices and decision’s about their care and support. We found people were actively involved in how their care was planned and their needs met. Staff supported people to access health care services such as their GP.

People spoke positively about both the support they received and the staff that provided it. People told us they were treated with dignity and respect and staff demonstrated their understanding of people’s right to refuse care.

The provider encouraged people and staff to share their opinions about the quality of the service through reviews and an annual satisfaction surveys.

Staff confirmed that they received support and could get information or advice if required.

People were positive about the care and support they received and the service as a whole.

The provider ensured regular checks were completed to monitor the quality of care that people received and look at where improvements could be made.

Morale was good and there was a strong team ethic, with office and care staff working well together. The culture was a supportive and forward-looking one, with clear plans in place for the future.

Further information is in the detailed findings below.

This inspection took place on 25 January 2016 and was announced.

Civicare Central Limited provides personal care and nursing care for people in their own home. There were 41 people receiving services for which CQC registration was required at the time we inspected.

There was a registered manager in place who is also the registered provider. 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 we spoke with told us that they felt safe when staff entered their home and that staff knew how to support them. Staff were able to tell us of the needs of the people they provided care for and their roles and responsibilities in keeping people safe.

There were sufficient numbers of suitably qualified staff, who had a good understanding of protecting people from the risk of abuse. Medicines were administered by staff that had received training to do this. The provider had procedures in place to check that people received their medicines as prescribed to effectively and safely meet their health needs.

People told us they received reliable care from a regular team of staff who understood their likes, dislikes and preferences for care and support and that they were kept informed of any changes.

Staff supported people to make their own choices and decision’s about their care and support. We found people were actively involved in how their care was planned and their needs met. Staff supported people to access health care services such as their GP.

People spoke positively about both the support they received and the staff that provided it. People told us they were treated with dignity and respect and staff demonstrated their understanding of people’s right to refuse care.

The provider encouraged people and staff to share their opinions about the quality of the service through reviews and an annual satisfaction questionnaire. They encouraged staff to come to the office for support when needed. Staff confirmed that they received support and could get information or advice if required.

People were positive about the care and support they received and the service as a whole.

The provider ensured regular checks were completed to monitor the quality of care that people received and look at where improvements could be made.