This service is a domiciliary care agency. Global Homecare Ltd provides personal care to people living in their own houses and flats. It provides a service to older adults. At the time of inspection one person was receiving support from this service.

This inspection took place on 8 January 2018 and was announced. 48 hours before the inspection we contacted the service to let them know that we will be coming to inspect them. We wanted to make sure that the registered manager would be available on the day of inspection.

This service has not previously been inspected.

At the time of the inspection the service had a registered manager. A registered manager is a person who has registered with the 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.

The staff team had systems in place to support people if potential harm and abuse was reported to them. Risk assessments were detailed and had information on how to avoid or limit risks to people. Staff were recruited safely which helped ensure that people had support from suitable staff members. Staff followed infection control policies and procedures to minimise risk of contamination. Systems were in place for recording and monitoring incidents and accidents occurring.

The service adhered to policies and procedures that met legal requirements and reviewed them regularly to ensure they were in line with the service’s needs. Staff were provided with training to meet their role expectations. The service carried out initial assessments in consultation with people. Information was available on people’s health conditions and contact details for health professionals which ensured the necessary staff involvement where required. Staff followed the Mental Capacity Act 2005 (MCA) principals and supported people to make decisions for themselves as much as possible. However, the registered manager should review the service’s internal systems in relation to the MCA.

People felt that staff were kind and respectful toward their care needs. Staff had time to have conversations with people. The services provided for people had met their cultural needs. Care plans had information on people’s preferences and personal history. The staff team ensured that information was treated confidentially and sought people’s consent to pass on information to healthcare professionals.

People were involved in planning their care and had access to their care plans. The service involved healthcare professionals to review and assess people’s care needs as necessary. People’s care records were well organised which helped to find information quickly. People and their relatives were confident that if they had any concerns the service would respond as necessary.

Staff were involved in developing the service and shared understanding about the service’s challenges and achievements. There was visible and approachable management in place to support staff in their role. People regularly provided feedback about the service. Quality assurance systems were in place and suitably maintained by the registered manager for monitoring the services being provided to people.