We carried out an announced comprehensive inspection on 28 and 29 November 2016 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

We carried out this inspection to check on the care and welfare of people using this service. Our visit was discussed and arranged two days in advance. This was to ensure that we had time to see and speak to staff working as well as people using the service. We spoke with four people using the service on the telephone, three staff and the manager.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. The name appears because they were still the registered manager on our register at this time.

We saw information to demonstrate how arrangements to seek people’s consent to care or treatment had been agreed. This ensured the provider could meet people's individual needs. One person told us, “It’s a fabulous service. I have warmed to all the nurses. They have such a pleasant bed side manner. They have come to my house and made a horrible situation easier to bear.”

We saw evidence to confirm that people were supported by staff who followed the necessary infection control standards.

We saw records to verify the staff were recruited appropriately ensuring vulnerable people were suitably supported.

Audits were carried out to check the quality of the service. We saw there were systems in place to effectively store, record and evaluate records.

We carried out this inspection to check on the care and welfare of people using this service. The inspection was unannounced which meant the provider and the staff did not know we were coming.

We spoke with four people using the service or their significant other. We also spoke with four staff which included nurses working in the community and office based staff.

People told us they received the care, treatment and support that met their individual needs. People confirmed they were relaxed and comfortable with the nurses in their home. They said the nurses interacted in a positive and respectful manner. We were informed the staff respected their privacy and dignity and took account of what they had to say in relation to the way their care was provided.

People had individual care records which informed staff how people wanted to be supportedThey were written in a style that people could understand and people using the service confirmed they felt involved in their treatment plan.

We looked at training records and saw the staff were trained in all areas of work including and specialism. This meant the staff had the necessary skills to support people in a suitable manner.

There were systems in place to ensure people could raise concerns and improve the quality of the care received. We saw information which confirmed complaints were dealt with in a timely manner and people using the service told us they felt comfortable in raising their views or concerns.