The service had recently re-registered with the Care Quality Commission with a new address, therefore this was their first rated inspection under the current registration. When we inspected under their previous registration, we rated the service good. At this inspection we found the evidence continued to support the rating of good there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

Knightingles Healthcare Limited is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older adults and younger adults who have a learning disability. The service also supports children who may have a physical or learning disability. The service was supporting 34 people with the regulated activity of personal care. The service was supporting others but they were not receiving assistance with the regulated activity.

The service had a manager who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the 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 and associated Regulations about how the service is run. In this instance, the registered manager is also the provider.

People, their relatives and staff were positive about the management of the service. There were systems in place to maintain and to further develop the service to ensure everyone consistently received care and support to a high standard. The ethos of the service was putting people at the heart of what they do and staff were aware of this expectation. Staff were happy to work with a management team who listened to them and put people first.

People felt safe using the service. The staff and management of the service knew how to effectively manage risks to reduce the risk of harm. There were enough staff who were recruited safely to meet people’s needs. Peoples’ medicines were managed safely and effective infection control was practised.

People were supported by staff who were trained and received regular supervision. People were supported with eating and drinking when needed. The staff worked in accordance of the principles of the Mental Capacity Act. The staff and management liaised with health and social care professionals to assist people as needed.

People told us staff were kind and caring. People were involved in planning and reviewing their care. Confidentiality, privacy and dignity was promoted. People’s care and support needs were met. People’s support plans were detailed and person centred. Complaints were responded to appropriately and feedback was sought.