About the service: Priceless Care Ltd is a domiciliary care agency. It provides personal care to people living in their own home. It provides a service to 12 older adults.

People’s experience of using this service: People told us they received a good service and felt safe with the support they received from staff. Arrangements were in place to protect people from risks to their safety and welfare, including the risks of avoidable harm and abuse. Recruitment processes were in place to make sure the provider only employed workers who were suitable to work in a care setting. There were arrangements in place to protect people from risks associated with the management of medicines and the spread of infection.

Care and support were based on detailed assessments and care plans, which were reviewed and kept up to date. Staff received appropriate training and supervision to maintain and develop their skills and knowledge to support people according to their needs. People's rights were protected by staff who under stood the Mental Capacity Act and how this applied to their role. Where appropriate, people were supported to eat and drink enough to maintain their health and welfare. People were supported to access healthcare services, such as GPs.

Care workers had developed caring relationships with people they supported. People were supported to take part in decisions about their care and treatment, and their views were listened to. Staff respected people's independence, privacy, and dignity.

Peoples care and support considered their abilities, needs and preferences and reflected their physical, emotional and social needs. People were kept aware of the providers complaints procedure.

Effective management systems were in place to monitor the quality of the care provided and to promoted people’s safety and welfare.

Rating at last inspection: The rating at the last inspection was Good. The report was published 18 July 2016.

Why we inspected: This inspection was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

This inspection took place 7 June 2016 and was announced.

Priceless Care Services Ltd provides personal care for people in their own home. There were nine people receiving services for which CQC registration was required at the time we inspected. We spoke to one person during the inspection, because of this and the fact that we want to protect this person’s rights to privacy, the report will provide an overview rather than specific examples.

A registered manager who was also the provider was in post at the time of our inspection. 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 was run.

People were protected from the risk of potential abuse and told us they felt safe because of the way staff cared for them. Staff took action to care for people in ways which promoted their safety and plans to manage people’s individual risks were in place. There were enough staff employed to care for people. Where people wanted assistance to take their medicines this was given by staff who knew how to do this safely.

Staff had the skills to care for people and adapted how they cared for people so people received their care in the way they preferred. Staff understood how to promote people’s rights and made sure people were in agreement for care to be given. Where people could not directly communicate their decisions staff supported them so their choices would be confirmed. Staff encouraged people to have enough to drink and eat. Staff understood risks to people’s health and worked with people and health professionals where needed, so people were supported maintain their health.

People and their relatives had developed good relationships with staff who they felt were kind and caring. Staff supported people to maintain their dignity and understood people’s need for privacy. Staff listened to people and took action to make sure people were receiving their daily care in the ways they wanted.

Staff had advised people and their relatives how to make any complaints they had about the service. No complaints had been received prior to our inspection. People or their representatives were involved in deciding what plans for care were put in place and the reviews of their care.

People and were encouraged to give feedback on the quality of the service. The registered manager and senior staff checked the quality of the care provided and introduced changes to develop people’s care further. Staff understood how the registered manager expected people’s care to be given so people would receive the care they needed in the way they preferred.