We inspected this service on 20 June 2017. This was an announced inspection and we telephoned the week prior to our inspection in order to arrange home visits and telephone interviews with people. The service provides care in people’s homes to older people and people with debilitating illness and long term conditions such as dementia. The service is available in the Nottingham area. At the time of the inspection 33 people were being supported by the service. Our last inspection took place in July 2014 and at that time we asked the provider to make improvements in the management of medicines. At this inspection we found the required improvements had been made promptly.

There was a registered manager in post. 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 felt safe and received care that had been risk assessed to ensure measures were taken to reduce any risks. When people received support with their meals they were given choices and guidance to ensure they received nutritional meals. When people required assistance with medicines this was risk assessed and the administration was completed safety.

The provider had a range of audits to monitor the service provided and had made improvements where needed. For example, new documentation to make information clearer and safer medicines management processes.

Staff felt supported and received training for their role. Care plans were completed with the person so their preferences and choices could be included. People received a review of their care and they had the opportunity to comment on the service they received. There was a complaints policy, however no one we spoke with had felt they needed to complain and the provider had not received any complaints.

There was sufficient staff and people received care from a consistent team of care staff. People made decisions about their care and when they lacked capacity an assessment was completed to support decision in their best interest. Referrals had been made to health care professionals as required to support the person with their wellbeing.

People received care from staff who respected them. When they contacted the office with any changes or additional support this was supported. The manager understood their responsibilities and notified us of any concerns or incidents. The service had displayed their rating conspicuously in the office and on the website.