This inspection took place on 1, 2 and 5 March, 2018 and was announced.

Homecare Northwest Ltd is a domiciliary care agency. It provides care to people living in their own houses and flats in the community. It provides a service to young and older adults. At the time of the inspection the registered provider was providing support to 50 people.

Not everyone using Homecare Northwest Ltd receives regulated activity; the Care Quality Commission only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of the inspection there was a registered manager in post. 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 registered provider had a number of quality assurance processes in place. Such measures ensure that people receive a safe level of care and support in relation to their support needs. Different assurance processes included ‘spot checks’, medication and care plan audits, accident and incident records, ‘review meetings’ as well as staff and client questionnaires. We did discuss with the deputy manager at the time of the inspection that some areas of quality assurance required improvement.

Medication processes were reviewed during the inspection. People who were being supported with their medication had the relevant care plan and risk assessment in place. People had signed a consent form which allowed care staff to support with medication administration. Care staff had received the relevant medication training and staff were familiar with the health care needs of people they supported. However, we did find a number of medication recording errors which needed to be discussed with the deputy manager at the time of the inspection.

Policies and procedures were reviewed during the inspection. A number of the policies did not contain the correct information in relation to the Health and Social Care Act, 2008. Following the inspection we received copies of all up to date and reviewed policies which contained all the relevant and necessary information.

There was a health and safety policy and procedure that staff were complying with, staff were provided with personal protective equipment (PPE) and they were aware infection prevention control measures which needed to be complied with.

Staff expressed that they were aware of safeguarding and whistleblowing procedures. Staff explained their understanding of such policies and how these could protect people from harm and abuse.

Accident and incidents were routinely recorded and monitored. An accident and incident matrix had been devised as a measure to establish trends and manage any identified risks.

Care plans and risk assessments were reviewed during the inspection. Records contained up to date and relevant information and were reviewed on a monthly basis. Staff expressed that records enabled them to provide the level of support which was required.

Care plans were individually tailored and a ‘person centred’ approach to care was evident throughout the records we reviewed. People expressed that staff were familiar with their support needs and always provided care and support in a respectful and dignified way.

Recruitment processes were reviewed during the inspection. All staff who were working for the registered provider had suitable references and disclosure barring system checks (DBS) in place. DBS checks ensure that staff who are employed are suitable to work within a health and social care setting. This enables the registered manager to assess level of suitability for working with vulnerable adults.

Staff expressed h