The inspection took place on 09 April 2018 and was announced.

This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. Lead Care Services Limited is registered to provide a service for people living with dementia, older people, people living with a learning disability, people living with a physical or sensory disability and younger adults.

Not everyone using Lead Care Services limited receives a regulated activity; CQC 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 this inspection Lead Care Services Limited supported four people with personal care.

This is the first inspection of this service since the provider registered with CQC on 27 April 2017.

The provider was also the registered manager for the service. 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 felt safe receiving care and support from Lead Care Services Limited. Staff understood how to keep people safe and risks to people's safety and well-being were identified and managed. People's needs were met by sufficient numbers of skilled and experienced staff. The provider operated robust recruitment processes which helped to ensure that staff employed to provide care and support for people were fit to do so. The service provided minimal support with people's medicines at the time of this inspection.

Staff received one to one supervision from a member of the management team which made them feel supported and valued. People received support they needed to eat and drink sufficient quantities and their health needs were well catered for with appropriate referrals made to health professionals as needed.

People and their relatives complimented the staff team for being kind and caring. Staff were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able.

The registered manager had arrangements to receive feedback from people who used the service and their relatives about the services provided. People were confident to raise anything that concerned them with staff or management and were satisfied that they would be listened to.

The registered manager had developed an open and respectful culture in the service and people, their relatives and the staff team were comfortable to speak with the registered manager if they had a concern. Arrangements were in place to regularly monitor health and safety and the quality of the care and support provided for people who used the service.