This was an announced inspection carried out on the 1 June 2017. We gave the registered manager 48 hours’ notice of our intention to undertake an inspection. This was because the organisation provides a domiciliary care service to people in their own homes and we needed to be sure that someone would be available at the office.

Epiphany in Care is registered to provide personal care and support for people within their own homes. At the time of our inspection six people received care and support from this service.

At the last inspection on 12 April 2016 the service was required to improve in the areas of medicines administration and staff training. After the inspection, the provider wrote to us to say what they would do to improve in those areas. At this inspection we found that they have met the requirements.

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.

We found that people were provided with care that was safe, person centred, sensitive and compassionate. The service was managed and staffed by a consistent team of support workers who were well trained and well supported.

The safety of people using the service was taken seriously by the registered manager and staff who understood their responsibility to protect people's health and well-being. The registered manager and staff had received training about protecting people form abuse and they knew what action to take if they suspected abuse.

Risks posed to people and staff both within the persons home and when being supported outside the home had been assessed and measures put in place to manage any hazards identified.

Policies and procedures were in place for the safe administration of medicines and staff had been trained and assessed to administer medicines safely.

Staff had received the training and guidance they required to assist people in the right way including helping them to eat and drink enough. People had been assisted to receive all the healthcare support they needed. Staff had ensured that people's rights were protected because the Mental Capacity Act 2005(MCA) Code of Practice was followed when decisions were made on their behalf.

Staff recruitment files showed that effective recruitment procedures had been followed. Appropriate checks had been carried out to ensure that staff were suitable to work with vulnerable adults.

All staff members confirmed they received regular training throughout the year and that this was up to date. This provided them with the knowledge and skills to do their jobs effectively.

People who used the service told us that the standard of care they received was good. They said that staff were reliable, kind and caring and knew what they were doing. Relatives spoken with praised the staff team for the quality of care provided.

Staff members were positive about how the service was being managed and spoke about the staff team in general being very supportive and of feeling part of a family.

There was a quality assurance system in place to review systems and help to ensure compliance with the regulations and to promote the welfare of the people who used the service. This included audits on care plans, medication and accidents.

This was an announced inspection carried out on the 21 April 2016. This is a new service registered with the Care Quality Commission on 8 April 2015. We gave the registered manager 48 hours’ notice of our intention to undertake an inspection. This was because the organisation provides a domiciliary care service to people in their own homes and we needed to be sure that someone would be available at the office.

Epiphany in Care is registered to provide personal care and support for people within their own homes. At the time of our inspection four people were receiving care and support from this service.

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.

Although people said they received their medicines safely, some aspects of medicines management were not always the best practice. Some risks to people were not assessed however; plans were put in place to reduce the likelihood of them experiencing harm. The provider had ensured staff received training and support to carry out their duties. However, these trainings had not been formalised including specialist trainings. People told us they felt safe and that the service was reliable and people received their support visits as planned. People said staff had sufficient time to give them the assistance they required. The provider had ensured through the use of satisfactory recruitment procedures that staff were suitable for their work role.

There was an up to date policy in place regarding the Mental Capacity Act 2005. This ensured that people gave consent to their care and support and their right was promoted. People told us they received the help they wanted and the provider and staff listened to them. They said staff were caring and polite and they had positive relationships with them. People’s support was regularly reviewed to make sure it was safe and met their needs. The provider checked the quality of the service people received by observing how staff supported people.