This inspection took place on 6 September 2018 and was announced.

Pearl Home Care Limited is registered to provide personal care to people. This service is a domiciliary care agency. It provides personal care to people living in their own homes.

At the time of our inspection the agency supported two people with personal care and employed two care staff. The service is located in Barnsley in South Yorkshire.

This was the first inspection to Pearl Home Care Limited since they had registered with us in September 2017.

The service had a registered manager who was also the provider of 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.

The provider's staff recruitment systems did not always reduce the risk of unsuitable staff being employed. We did not always see evidence that staff completed an induction, completed training or had their background suitably checked prior to employment.

There were sufficient numbers of staff to complete all planned care calls at the times people expected and for the length of time needed. People told us they felt safe with the staff that supported them and knew they could contact the agency when needed.

People received their medicines as prescribed and staff had completed training to enable them to manage medicines safely and in accordance with best practice.

People had care plans which were personalised, and informed staff how people wanted their care and support to be provided. Care plans were sufficiently detailed and updated when required. Risks associated with people's care were assessed in individualised risk management plans for staff to follow to minimise known risks.

Staff were aware of risks associated with people's care and knew the signs to look for of potential abuse. Staff had a good understanding of the needs and preferences of the people and where appropriate supported them with meals and drinks to maintain hydration and health.

People felt staff had the knowledge and skills needed to meet their needs and spoke positively of the support they received. People, and where appropriate relatives, were involved in developing and reviewing planned care so that they continued to be satisfied with the service they received.

People's privacy and dignity was respected and their independence promoted. The registered manager had an understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff sought people's consent before care was provided.

The registered manager was aware of their legal responsibilities and provided effective leadership and support to staff. Quality assurance systems were used to monitor and assess the quality of the service to drive continuous improvement.