This comprehensive inspection took place on 18 May 2018. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we needed to be sure that someone would be at the office.

Horizon Care Supported Living Ltd provides personal care to people living in the community. The service is in the Dinnington area, on the border of Sheffield and Rotherham. Support packages are flexible and based on individual need. At the time of our inspection the service was supporting six people.

This service provides care and support to people living in a ‘supported living’ setting, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

At the last inspection in May 2016 the service was rated Good. You can read the report from our last inspections, by selecting the 'all reports' link for ‘Horizon Care Supported Living Ltd’ on our website at www.cqc.org.uk.

At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our rating of the service has not changed since our last inspection.

The registered provider had appointed a manager, who had commenced the process of applying to CQC. However, they were absent at the time of the inspection and the deputy manager was running the service on day to day basis, with support from the head of care services. This meant the service did not have a registered manager in post at the time of our inspection. 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.

People we spoke with felt safe using the service. We saw that the service was particularly person centred and that risks were well managed. People were safely supported with their medicines. There was a procedure in place to ensure any safeguarding concerns were addressed and reported. There were sufficient numbers of staff to meet people’s needs and it was evident that staff had been safely recruited.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The service supported people to maintain a healthy diet and people who required the involvement of health care professionals were assisted to obtain this. Staff told us they enjoyed working at the service and had received support, training and supervision to help them to carry out their support role effectively.

People told us the support team were very caring. They said they treated people with respect and dignity, and staff supported them in a way which met their needs. People and their relatives had been involved in formulating support plans.

The service continued to ensure that people’s needs were assessed and support was planned and delivered in line with their individual support plans. People’s plans clearly identified their individual preferences and the areas in which they needed support. It was also evident that staff worked hard to provide people with the support they needed to have a good lifestyle that suited their individual and cultural needs and aspirations. The service continued to ensure that there was an effective and accessible complaints procedure.

The registered provider continued to ensure there was an effective system to monitor the quality of service delivery and of sta

This inspection took place on 26 May 2016 and wasannounced. This meant the provider knew we would be visiting. This was because we wanted to make sure the registered manager, or someone who could act on their behalf, would be available to support the inspection. Additionally, the service is a domiciliary care service, which supports younger adults in their own accommodation. As people are often out during the day; we needed to be sure that someone would be in. Horizon Care Supported Living Ltd is a relatively new service and this was the first inspection of the service since it was registered.

Horizon Care Supported Living Ltd provides personal care to people living in the community. Support is provided to people accommodated in a shared, supported living environment in the Dinnington area, on the border of Sheffield and Rotherham. Support packages are flexible and based on individual need. At the time of our inspection the service was supporting three people. The office is situated near to where the people who use the service live.

The service had a registered manager in post at the time of our inspection. 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.

We found the service employed enough staff to meet the needs of the people being supported. This included consistently providing the same support staff, who supported people on a regular basis.

There were appropriate recruitment checks undertaken when employing new staff. Staff had received a structured induction and essential training at the beginning of their employment. This was followed by regular refresher training to update their knowledge and skills.

Staff knew how to recognise and respond to abuse appropriately. They had a clear understanding of the procedures in place to safeguard vulnerable people from abuse.

People who used the service were treated with kindness and received support in a way which was tailored to their needs and preferences. People were involved in planning their care, and their privacy, dignity and independence was promoted.

The care and support plans we saw were written in a person centred way, meaning that each care plan was tailored to each person’s individual needs.

The registered manager was knowledgeable about the Mental Capacity Act 2005, and its Code of Practice. Each person who used the service had given informed consent to their care and support.

People knew how they could raise a concern about the service they received. Where issues were raised these were investigated and action was taken to resolve the concern.

The provider had systems in place to monitor the quality of the service provided. These were effective and developing well, as the service developed and grew.