The inspection took place on 23 August 2016 and was announced. The provider was given 24 hours’ notice of the inspection because the location provides a domiciliary care service. We needed to be sure that the registered manager would be available to speak with us.

Prestige Care 247 Ltd is a domiciliary care agency that provides personal care support in people's homes. At the time of our inspection four people were receiving care and support.

It is a requirement that the service has a registered manager. 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 service had a registered manager in place at the time of our inspection.

People told us that they felt safe. Risks to people’s health and well-being had been assessed and staff knew how to keep people safe. There were enough staff to meet their needs.

Staff knew about their responsibilities to safeguard people from abuse. The service had safeguarding and whistleblowing procedures in place. There were plans for staff to follow to keep people safe during an emergency.

People were very satisfied that their care and support calls were on time and from a consistent staff team. The provider had recruitment procedures in place that ensured only suitable staff were recruited. They undertook an induction programme when they started work at the service. They had received regular guidance and support from the registered manager.

People were supported to take their medicines by care workers who had received training in medicines management. People were supported by staff who had received regular training in areas relevant to their role.

People were being supported by staff who understood the Mental Capacity Act (MCA). Staff were able to describe how they offered choices and supported people to make decisions about their own care and support.

People were supported to maintain a balanced diet where they were supported with eating and drinking. People were supported or prompted to access healthcare services.

People were being supported to remain healthy. Staff knew how to do this and information about people’s health needs was available in their support plans. Where there was concern about people’s health, staff knew what to do and took the appropriate action.

Staff developed caring relationships with people and understood people’s needs and preferences. People were supported to remain as independent as possible by staff who knew how to do this.

People were involved in the assessment and review of their needs. People received a service that was flexible and responsive to them. People told us they could alter the timings of calls to meet their individual requirements.

People felt the service was well managed. The service was well organised and led by a registered manager who understood their responsibilities under the Care Quality Commission (Registration) Regulations 2009. The registered manager carried out monitoring in relation to the quality of the service that people received.