This inspection took place on the 11 and 12 September 2017 and was announced. Humbercare Ltd Grimsby Office is registered to provide personal care to people living in their own homes in areas of North East Lincolnshire. At the time of our inspection, there were 10 people using the service with learning disabilities and people living with mental health needs receiving support. Services provided include, assistance with personal care, housing related support and help with maintaining independent living skills.

Humbercare Ltd Grimsby Office registered with the Care Quality Commission in September 2016, 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 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 staff were recruited safely and sufficient numbers of staff provided individual packages of care and support. Staff received training in how to safeguard people from the risk of harm and abuse and they knew what to do if they had concerns. Medicines were handled safely and staff had received training in this area. We saw people had assessments of their needs prior to admission to the service and staff completed risk assessments and care plans.

Staff understood how to gain consent from people who used the service; the principles of the Mental Capacity Act 2005 were followed when people were unable to make decisions for themselves. People who used the service were supported to eat a healthy diet, drink sufficiently to meet their needs and were supported by a range of healthcare professionals to ensure their needs were met effectively.

Staff were observed as kind and caring during their interactions with people and privacy and dignity were respected.

The registered manager and staff were responsive to people’s changing needs. Reviews of people’s care were held on a regular basis and they were involved in the initial and on-going planning of their care. Care plans were in place, which focused on supporting people who used the service to maintain their independence and develop their daily living skills whilst remaining safe.

The service was led by a registered manager who understood their responsibilities to inform the CQC when specific incidents occurred led the service. A quality assurance system was in place that consisted of audits, daily checks and questionnaires and action taken to improve the service when shortfalls were identified.

A copy of the complaints policy and procedure was provided to each person and people felt able to raise concerns with staff or the registered manager.