Cura-Care Yorkshire Ltd provides personal care to people living in their own homes. It also provides short breaks for children and young people with disabilities and their families. At the time of this inspection the service provided services to four adults and 39 children. This is the first inspection of the service.

The service had a registered manager. A registered manager is a person who has registered with the CQC 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. The registered manager and nominated individual were present and assisted us throughout the day.

Staff were trained to recognise signs that might show someone was at risk of abuse or harm. They knew the importance of reporting their concerns to promote people's safety.

Staff had guidance about how to minimise risks to people's safety and welfare. Staff supported people to understand risks themselves and to learn what they could do to promote their own safety and welfare. Where staff supported people with their medicines, they did so in a safe way.

There were enough staff to keep people safe. Robust recruitment and selection procedures were in place to make sure suitable staff worked with people who used the service. Staff were skilled and experienced to meet people's needs because they received appropriate training, supervision and appraisal.

Staff understood the importance of seeking consent and encouraging people to make their own decisions. If someone's capacity to make an informed decision was in doubt, staff consulted others who knew the person well. They involved the person, professionals and families to help determine what was in the person's best interests.

People's privacy and dignity was promoted and staff treated people with warmth and respect. People were encouraged to say how they wanted staff to deliver their care and, in some cases, to draw up their own guidance for their support staff.

The registered manager and staff reviewed people's care to see whether anything had changed. Staff knew about people's individual needs and preferences. They knew how to meet these and had guidance within care plans focused on each person.

People were confident that they could raise any concerns or complaints they had with the management team and have them addressed. They were also encouraged to express their views on a regular basis. This happened formally through surveys at the end of support sessions. Others connected with the service, such as family members, were encouraged to say what they thought about the service. The management team reviewed where the service was performing well and what improvements they could make in response to the views they obtained.

Staff were fully involved and committed to achieving the service's values and vision. The service had systems to monitor and review the quality of the care provided. People told us they had continuity of support staff. They said staff always arrived on time and stayed for their allocated time. People were supported by staff who demonstrated kindness, compassion and courtesy.