This inspection took place on 24, 26 and 30 May 2017. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to ensure that the provider would be present to provide the information and documents necessary for the inspection.

This was the first inspection since the service registered a new location with CQC in July 2016.

Diamond Unique Care Ltd is registered to provide personal care and support to people living in their own homes. At the time of the inspection 15 people were using the service.

The service had an application in progress to register a new manager at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (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 and associated Regulations about how the service is run.

People and relatives told us they felt safe. Procedures and policies relating to safeguarding people from harm were in place and accessible to staff. All staff had completed training in safeguarding adults and demonstrated an understanding of types of abuse to look out for and how to raise safeguarding concerns.

Staff knew people well and treated them with dignity and respect. Care plans were personalised and contained detailed information about people's support needs and risk assessments were detailed and specific providing staff with all relevant information to ensure risks were both identified and mitigated where possible. Medicines were managed safely.

Sufficient numbers of staff supported people and these were recruited through a robust process which helped ensure staff were suited for the roles they performed. Staff were inducted and received on going training and support. Staff had individual supervisions, team meetings and regular contact with senior staff to share good practice and discuss any concerns.

All staff had received training on the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) and staff understood the importance of always gaining consent from people. People were supported to maintain good health and had access to healthcare services.

The service demonstrated they had systems and processes in place to monitor and improve the quality of the service to deliver a consistently good standard of care and support..