Evershining Care Services provides personal care for adults living in their own homes. On the day of the inspection the registered manager informed us that there were a total of five people receiving care from the service.

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 and associated Regulations about how the service is run.

People and a representative we spoke with told us they thought the service ensured that people received safe personal care. Staff had been trained in safeguarding (protecting people from abuse) and staff understood their responsibilities in this area.

Risk assessments were not comprehensively in place to protect people from risks to their health and welfare. Staff recruitment checks were, in the main, in place to protect people from receiving personal care from unsuitable staff.

Staff had received training to ensure they had skills and knowledge to meet people's needs. Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA) to ensure people had effective choices about how they lived their lives.

People and a representative we spoke with all told us that staff were friendly, kind, positive and caring. They said they had been involved in making decisions about how and the type of what personal care was delivered to they needed to meet care needs.

Care plans were individual to the people using the service and were in place to ensure that their needs were met, though they did not include all relevant information such as people's past histories.

People and a representative told us they would tell staff or management if they had any concerns, and they were confident these would be properly followed up.

People and their relatives were satisfied with how the service was run. Staff felt they were supported in their work by the registered manager. Management carried out audits in order to check that the service was meeting people's needs and to try to ensure people were provided with a proper service, though more areas needed to be reviewed to ensure people were always provided with a comprehensive quality service.

Mudhefi Business Properties provides personal care for people living in their own homes. On the day the inspection the registered manager informed us that there were four people receiving a service from the agency.

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 and associated Regulations about how the service is run.

People and their relatives we spoke with said they thought the agency ensured that people received safe personal care. Staff had been trained in safeguarding (protecting people from abuse) and staff we spoke with understood their responsibilities in this area.

Risk assessments were not fully detailed to assist staff to support people safely.

We saw that a medicines policy was in place to ensure medicines were given safely and on time, to protect people’s health needs.

Staff had not always been safety recruited to ensure they were appropriate to supply personal care to people.

Staff had training to ensure they had the skills and knowledge to be able to meet people's needs, though more specialist awareness of people’s individual needs was not fully in place, which could have had a potential impact on meeting their needs.

Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to allow, as much as possible, people to have effective choice about how they lived their lives.

People or their relatives told us that people had been assisted to eat and drink and everyone told us they thought the food prepared by staff was satisfactory.

Staff had an awareness of people's health care needs no referral to health professionals had not always taken place.

People and their relatives we spoke with told us that staff were friendly, kind, positive and caring.

People, or their relatives, were involved in making decisions about how personal care was to be provided.

Care plans were not fully individual to the people using the service, as information about their social care needs was lacking. There was a risk that this lack of information meant that people's individual needs may not always be met.

People or their relatives told us they would tell staff or management if they had any concerns and were confident any issues would be properly followed up.

People and their relatives were satisfied with how the agency was run by the registered manager.

Management carried out audits and checks to ensure the agency was running properly. However, audits did not include the checking of all issues needed to provide a quality service.