This announced inspection took place on the 27 and 28 June 2018. The provider was given 48 hours’ notice that we would be visiting the service. This was because the service provides domiciliary care and support to people living in their own homes and we wanted to make sure staff would be available to talk to us about the service. Gee Professional Services is a domiciliary care agency registered to provider personal care to people living in their own homes. The service currently provides care and support to 13 people.

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.

At our last inspection on 06 and 13 July 2017 we rated the service as ‘requires improvement’. We found the provider was in breach of the regulation regarding notification of incidents. We asked the provider to take action to meet this regulation and to make improvements in relation to risk assessments, recruitment systems and quality monitoring systems. At this inspection, we found these improvements had been made and the regulation had been met.

People were safe because they were supported by a consistent staff team that had the skills and knowledge to meet their needs. Staff had a good understanding of how to spot signs of abuse and where to report concerns to. Individual risks to people were assessed and staff knew how to reduce risks to people. People received their medicines as prescribed.

People were asked for consent before providing support and were supported to make their own decisions. People and their relatives were kept up to date and involved in their care and reviews. Information about people’s support needs was personalised and staff knew people well including their likes, dislikes and history. People and relatives knew how to raise concerns.

People told us staff were kind and caring. People were supported in dignified way and were encouraged to be independent.

Staff felt supported in their roles. The provider had quality monitoring systems in place and sought feedback from people and relatives to drive improvement within the home. People and their relatives spoke positively about the registered manager.

This inspection took place on 06 July 2017 and was announced. Gee Professional Services provides personal care to older people and people with learning and physical disabilities in their own homes. At the time of the inspection there were 10 people receiving support from the service. This was the agency’s first inspection since registration.

There was a registered manager in post at the time of the inspection, who was also the provider. 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 2008 and associated Regulations about how the service is run.

Risks were not always effectively managed. Improvements to the provider’s recruitment systems were required to ensure people were protected from the risk of receiving support from unsuitable staff.

The provider had failed to notify us of events as required by law. There were systems in place to monitor the quality of care people received; however these needed to be further developed to ensure they were effective in identifying patterns and trends and driving improvement. People and their relatives were happy with the service they received. People and staff felt the service was well managed. Staff received support from the provider which helped them in their role. People and their relative were asked for their views on the service they received.

During the inspection we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

People told us they felt safe. Staff had a good understanding of how to protect people from harm and knew how to report any concerns about people’s safety and well-being. People received support from a consistent staff team. There were systems in place to ensure people received their medicines as prescribed. The provider conducted regular spot checks and audits to ensure medicines were managed safely.

People were supported by staff who had the skills and knowledge required to meet their needs. Staff felt supported by the provider and were clear about their expectations. People were asked for their consent before care was provided and were supported to make their own decisions. Information about people’s needs in relation to food and drink was available to staff and people were supported to access healthcare services when required.

People were supported by staff who were kind and caring. People were supported to make their own decisions and staff encouraged people to maintain their independence. Staff supported people in a dignified way, by respecting their wishes and maintaining their privacy.

People and their relatives had contributed to the assessment, planning and review of their care. People received care that met their individual needs and preference and staff had a good knowledge of their likes and dislikes. People knew who to contact if they were unhappy about the service they received and the provider had systems in place to encourage feedback and manage complaints.