This inspection took place on 7 February 2017 and was announced. Complesso Healthcare Solutions provides personal care to people in their own homes. Some people might have a learning disability or autistic spectrum disorder, physical disability or a sensory impairment. At the time of our inspection two people were receiving support from the service.

There was a registered manager in post at the time of 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 that were able to recognise the signs of abuse and knew how to raise concerns. Risks to the person’s safety were managed. People were supported by staff that had had the appropriate recruitment checks completed. There were an adequate number of staff to meet people’s needs. There was a system in place to manage people’s medicines.

Staff knew people’s care and support needs. People’s rights were protected as their consent was sought from staff providing care. People were supported to maintain a healthy and balanced diet and were involved in the preparation of their meals. People were assisted where required to access healthcare professionals.

Staff understood people’s choices and supported their independence. People were involved in their care and staff supported them to maintain their interests and hobbies. People’s privacy and dignity was respected by staff. People’s needs were assessed and care records gave guidance on how people should be supported. Care records were personalised to reflect people’s preferences. The provider had processes in place to address any complaints or concerns.

Staff were aware of their roles and responsibilities and felt supported by the provider. The provider checked the quality of service delivered and completed competency checks of staff.