Haverhill Community Care Ltd is a domiciliary care agency. The service provides personal care to people living in their own homes in the community. At the time of this inspection 30 people were receiving personal care from the service. This was the first inspection of the service.

The service had a registered manager. 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.

The caring staff of the service knew the people receiving support very well. Without exception, people their relatives and professionals told us they were content with the support provided. People informed us they were truly respected and valued as individuals and empowered as partners in their care by an exceptional and distinctive service of caring staff. The support plans were person-centred. People informed us they were able to clearly express their views to the staff and their privacy and dignity were respected at all times.

People informed us they felt safe and comfortable when staff were in their home providing support. People were provided with a copy of the staff rota so they knew who was due to visit them. Staff knew how to recognise signs of potential abuse and understood how to report any concerns in line with the service's safeguarding policy.

The support plans had clearly written instructions of how to support the person and to keep them safe. Risk assessments relating to each person's home environment had been completed. Where concerns were identified, action had been taken to reduce the risks to people.

People were supported safely with their medicines and told us they were happy with the support they received. Staff completed medicine administration records (MAR) after giving people their medicines. The MAR were audited to ensure people had received their medicines as prescribed to promote good health.

Staff were designated to work with small numbers of people and were supported by knowledgeable senior staff.

Safe staff recruitment procedures were in operation. This helped reduce the risk of the service employing a person who may be unsuitable to work in care. Staff were provided with training, supervision and on-going support.

People were supported by a team of staff who were skilled and experienced in the assessment of and meeting people's individual needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The staff supported people to make decisions and choices in their lives having ensured capacity assessments had been completed. People's rights were protected because staff acted in accordance with the Mental Capacity Act 2005.

People’s support plans were written and developed with each individual. They described the support the person needed to manage their day-to-day health needs. Each person had a clear detailed assessment of their needs in their support plan. The support plan was reviewed regularly as required and at set times.

The service sought regular feedback from the people using the service. People informed us they were asked for feedback over the telephone, during visits and care plan reviews. People and their relatives felt able to raise concerns or make a complaint. They were confident their concerns would be taken seriously.

People informed us the management were approachable and they were very happy with the service. The registered manager was keen to develop and improve the service they attended local provider forums and accessed professional websites. This meant they kept up-to-date with good practice and knew what was happening in the care profession. An audit system was in place to monitor the quality of the service. Checks to observe