Care Dynamics Yorkshire Limited is registered as a domiciliary care agency and provides a range of services including personal care to children, people living with a learning disability, older people, people with physical disabilities and/or sensory impairment, people with mental health needs and people who have sustained a head injury.

We inspected Care Dynamics Yorkshire Limited on the 10, 24 August 2017 and the 5 September 2017. We announced the first day of inspection 48 hours prior to our arrival to make sure the registered manager would be available. This was the first inspection of the service since it moved location.

There was a registered manager in post. 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 told us they felt safe having their care and support provided by Care Dynamics. We found staff had received training in safeguarding vulnerable people and were aware of the correct action to take if they witnessed or suspected any abuse. Staff were aware of the whistleblowing (reporting poor practice) policy and told us they were certain any concerns they raised would be taken seriously by the registered manager.

Care records contained assessments that had been completed before people started to use the service. They were detailed and showed what support the person required and how the service planned to provide it. The assessment process ensured staff could meet people’s needs and the information gathered was used to develop support plans and risk assessments.

We found support plans were person centred and contained detailed information that guided staff on the level of support people needed to meet their health and social care needs. Care records were reviewed regularly to ensure they reflected people’s needs and there were detailed risk assessment in place.

People’s nutritional needs were met and people were encouraged to eat a varied and balanced diet. People told us staff treated them with kindness and respect and promoted their independence and right to privacy.

There were a sufficient number of staff employed for operational purposes and the staff recruitment process ensured only people suitable to work in the caring profession were employed. Staff received the training, support and supervision they needed to carry out their roles effectively.

The service had an infection control policy which gave staff guidance on preventing, detecting and controlling the spread of infection. Staff had received training on infection prevention and control.

The registered manager demonstrated a good understanding of their responsibilities under the Mental Capacity Act 2005 (MCA) and staff demonstrated good knowledge of the people they supported and their capacity to make decisions. The registered manager and staff were aware of the process to follow should a person lack the capacity to consent to their care.

People told us they had been consulted about their care records and felt involved in how their care was provided. People told us the staff were friendly and they were always supported by the same staff, who knew them well. The service placed importance on helping people to maintain relationships and promoted social contact. The care records we looked at contained information about people who were important to them.

We found that the registered manager and all the staff we spoke with were able to tell us about the people who used the service. They knew their likes and dislikes and things that were important to them. They all spoke respectfully and with warmth about people who used the service.

During our inspection we found both directors of the company, one of whom was the registered manager to be enthusiastic, caring an