We carried out an announced inspection on 4 April 2016

Suite 215 Elizabeth House provides a domiciliary care service and are registered to deliver personal to people in their own homes. On the day of our inspection, there were 7 people using the service and nine staff supporting them.

A registered manager was in place. 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.

The service had appropriate systems in place to keep people safe. Staff had a good understanding and knowledge of safeguarding procedures and knew what actions they would take to protect the people they supported. People’s medicine were administered to them safely and in a timely way.

Risks to people’s health and wellbeing were appropriately assessed, managed and reviewed. Support plans were sufficiently detailed and provided an accurate description of people’s care and support needs.

A recruitment process was in place to protect people and staff had been recruited safely. There were sufficient numbers of staff available to meet people’s needs. Staff had the right skills and knowledge to provide care and support to people.

Staff told us that they were well supported in their role and received regular supervision and encouragement to do their job well.

People were treated with compassion and respect and their dignity was maintained by staff who supported them.

People’s nutritional needs were met in a way that enabled them to maintain their independence.

Staff understood people’s needs and provided care and support accordingly. Caring relationships had been developed and people were fully involved in their care arrangements.

Quality assurance arrangements were in place and the service listened to people views and opinions in making improvements. There was a system for responding to complaints and concerns. The visible leadership of the registered manager showed that the service was well managed and people were receiving high quality care.