Enable Support is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults and younger adults with a disability. At the time of our inspection one person was receiving personal care as part of their care package.

This is the provider’s first inspection since registration.

A registered manager was not required because the registered provider managed the service. Registered providers 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 person who used the service was protected from abuse and avoidable harm because the registered provider understood their role and responsibility of what action to take to safeguard the person. Risks associated with the person’s care and living environment had been assessed and planned for. The registered provider at the time of our inspection did not employee any staff. They provided care themselves and as part of their registration requirements with CQC, checks had been completed on their suitability to provide care. The person was prompted to take their medicines safely. The registered provider knew how to minimise the risk of cross contamination and followed infection control best practice guidance. When incidents had occurred, these had been recorded and action was taken to reduce further risks.

The registered provider had completed appropriate training to enable them to fulfil their role and sought external support and advise when required. The person who used the service retained responsibility for their health care and the registered provider supported them, where needed, to access healthcare services. The person was supported with meals and drinks where required and choices were respected and acted upon.

The person who used the service had maximum choice and control of their life and the registered provider supported them in the least restrictive way possible. The person was fully involved in making choices and decisions about how they wanted to receive their care and support. The registered provider understood the principles of the Mental Capacity Act 2005 and how to respond if the person no longer had capacity to make specific decisions.

A positive relationship had been developed between the person who used the service and the registered provider who was caring and respectful. The person’s privacy and dignity were maintained and they felt comfortable with the registered provider. The registered provider had not made available information about independent advocacy service but agreed to do this.

The person felt confident that any concerns they raised with the registered provider would be listened to and acted upon.

The registered provider monitored the service they provided. Whilst they had policies and procedures in place that were based on best practice guidance and legislation, some policies were missing and it was not clear on the frequency policies were reviewed to ensure they were up to date.