Mike Riglin Nursing is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service predominantly to older people. People using the service lived in their own residential houses and ordinary flats across Chelmsford and the surrounding areas. At the time of our inspection 18 people were using the service.

Not everyone using Mike Riglin Nursing receives personal care; 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 the inspection the registered provider was also the registered manager. A registered manager is a person who has registered with the Care Quality Commission (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.

At the last inspection in August 2016, the service was rated 'Good'. At this inspection we found the service had maintained a rating of ‘Good'.

The manager ensured there was a number of different systems and processes in place to assess and monitor the quality and standard of the care being provided.

People were receiving safe, compassionate and effective care and told us that the provision of care was of a good standard. During the inspection we reviewed care plans and risk assessments which were in place. Records were well maintained, contained up to date and relevant information and were regularly reviewed. Staff said that records enabled them to provide the level of support which was required and risks were always assessed, monitored, safely managed and communicated amongst the staff team.

Policies and procedures contained relevant, up to date information and were available to all staff as and when they needed them. Staff were familiar with 'safeguarding' and 'whistleblowing' procedures. Staff knew how to report any concerns and had completed the necessary safeguarding training.

Care plans were individually tailored and a 'person centred' approach to care was evident throughout the records we reviewed. People told us that staff were familiar with their support needs and always provided care and support in a respectful and dignified way.

We reviewed medication management systems during the inspection. People had the relevant medication care plan in place which included detailed information in relation to medication administration times, medical history and the level of support required. There was a medication consent form which had been signed by each person who was being supported and staff had received the necessary medication training.

We reviewed the manager’s recruitment processes. All staff who were working for the manager had suitable references and disclosure and barring system checks (DBS) in place. DBS checks ensure that staff who are employed are suitable to work within a health and social care setting. This enables the manager to assess level of suitability for working with vulnerable adults.

Staff told us they were fully supported in their roles. Staff received regular supervisions and annual appraisals. Training was regularly provided as well as specialist training being offered to help support with learning and development.

Accidents and incidents were being routinely recorded and monitored. The manager ensured that accidents/incidents were being assessed and trends were being established.

The day to day support needs of people were well managed by the manager We saw evidence of appropriate referrals taking place, correspondence between external healthcare professionals as well as the necessary risk management tools being used to monitor people's health and well-being.

The manager had suitable quality assurance audits, checks a