Provision Care Ltd provides personal care to people living in their own home. The office is based in the city of Leicester. At the time of our inspection visit there were two people using the service and they employed five staff.

At the last inspection, in December 2015 the service was rated Good.

At this inspection we found the service remained Good.

The provider was also the registered manager for Provision Care Ltd. 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 continued to receive safe care. Staff recruitment processes were robust and ensured that people were protected from being cared for by unsuitable staff. There were enough staff to provide care and support to people to meet their needs safely. Staff were trained and understood their responsibilities to protect people from abuse and avoidable harm.

People continued to be protected from avoidable risks. A range of risks assessments were completed and preventative action was taken to reduce the risk of harm to people. Where people required support with their medicines, staff had been trained in the safe handling of medicine, which was supported by a policy and procedure. People were supported to maintain good health and nutrition.

People continued to receive effective care and support. Staff received an appropriate induction, ongoing training and support which ensured their knowledge and skills were kept up to date and they understood their role and responsibilities to work effectively.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People continued to receive good care. They had developed positive relationship with the staff who understood their needs. Staff were kind, caring and treated people with dignity and respect.

People continued to receive care and support that was responsive to their individual needs. Care plans were personalised and took account of people’s diverse, cultural and specific needs. This enabled staff to provide care and support in line with people’s wishes and preferences. Staff worked in a flexible way which promoted continuity of care so that they could meet people's needs in a person centred way.

People knew how to raise a concern or to make a complaint. The provider had a complaint policy and procedure and complaints received were investigated.

The service continued to be well managed. People and staff had confidence in the registered manager and found they were supported. The registered manager provided clear leadership, listened and acted on feedback. The registered manager was meeting their regulatory responsibilities and liaised with external agencies to ensure people received a safe service. Effective systems were in place to monitor and improve the quality of the service provided through a range of audits and views sought from people, their relatives and staff to influence the service and drive improvements.

This inspection took place on 1 December 2015 and was announced. The provider was given 48 hours’ notice because the location provides domiciliary care service and we needed to be sure that someone would be at the office.

Provision Care Ltd is a domiciliary care service providing care and support to people living in their own homes. The office is based in the city of Leicester and the service currently provides care and support to people living in Leicester. At the time of our inspection there were four people using the service and employed two staff.

Provision Care Ltd has 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 with the care staff and the support they received. Care staff were confident to report any concerns about people’s safety, health or welfare to the registered manager or to the relevant external agencies.

People were involved in making decisions about their care and support needs and in the development of their care plan. Potential risk to people’s health had been assessed and measures in place were detailed in the care plans for care staff to refer to.

We found there were sufficient numbers of staff employed to meet the needs of people. Records showed that staff had undergone a robust recruitment process before they worked unsupervised with people who use care services.

People were prompted to take their medication where their plan of care had identified that the person required support. We found people’s medicines were managed well.

Staff had induction and on-going training that equipped them to support people safely. Staff were supported regularly through supervisions and staff meetings and checks were carried out on their practices.

People made decisions about their care needs and support needs. People’s plans of care reflected the support they required with regards to their personal care and where appropriate social support. Staff sought people’s consent before they were helped and promoted their independence and choices.

Staff supported some people with their meals and drinks in order that they maintained a balanced diet. People were supported with grocery shopping, meal preparation and cooking.

Staff supported people to liaise with health care professionals if there were any concerns about their health.

People told us that they were happy with the support they received. They had regular staff with whom they had developed a positive relationship with. People were complimentary about the care staff and found them to be kind and caring. People’s privacy and dignity was maintained, their choice of lifestyle was respected and their independence was promoted.

Staff were knowledgeable about the needs of people and took account of their preferences such as times, cultural and diverse needs. People received support from staff who were consistent, reliable and aware of their role to meet people’s care needs and promote their wellbeing and independence.

People told us they were aware of how to raise concerns. They were confident that any concerns raised would be responded to by the registered manager and the provider.

People who used the service and relatives told us that their views about the service were sought regularly. People told us that they were happy with how the service was managed.

The provider had a quality assurance system in place to assess and monitor the quality of service provided. Those included audits and checks carried out on the staff delivering care and review of people’s care.

The registered manager provided effective leadership and support to the staff in order to review and develop the service. The provider sought the views