The inspection took place on 10 August 2018, and was announced; we gave the provider 48 hours’ notice of the inspection to ensure that the registered manager was available for us to speak with.

The service was last inspected in April 2016, and was rated Good. At this inspection we found that the service continued to be good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing. It provides a service to older adults and younger disabled adults in the Rotherham and Sheffield areas. At the time of the inspection they were providing support to around 50 people.

The service had a registered manager 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 and associated Regulations about how the service is run.

People’s care files showed that their care needs had been thoroughly assessed, and they received care in accordance with their assessed needs. People’s care was regularly reviewed to ensure it met their needs, and care was tailored towards each person’s individual preferences and care needs.

There were systems in place to reduce the risk of abuse and to assess and monitor potential risks to individual people. Risk assessments were up to date and detailed. Medicines were managed safely, so that people received their medication as prescribed.

We found recruitment processes were thorough, which helped the employer make safer recruitment decisions when employing new staff.

Staff had completed an induction before commencing work and there was a comprehensive training programme in place. This helped them meet the needs of the people they supported.

Records showed that on occasion relatives had been required to make decisions on other people’s behalf, which does not reflect lawful decision making.

There was a system in place to tell people how to make a complaint and how it would be managed, and this was explained to people when they first started using the service.

The registered manager had a clear oversight of the service, and of the people who had used or were using it. Additionally they operated a formal audit system to identify where improvements were required.

Staff received regular supervision and appraisal, and the standard and quality of care visits was regularly monitored.

The inspection took place on 29 April 2016, with the provider being given short notice of the visit to the office in line with our current methodology for inspecting domiciliary care agencies. The service registered in late 2014, therefore this was the first inspection of this location.

Royal Care Health Recruitment & Training provides personal care to people living in their own homes in Rotherham and surrounding areas. At the time of the inspection they were providing support to one person.

The service had a registered manager 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 and associated Regulations about how the service is run.

People’s care files showed that their care needs had been thoroughly assessed, and they received a good quality of care from staff who understood the level of support they needed. We spoke with the sole person who was using the service at the time of the inspection and they told us their experience of care and support was good.

We found recruitment processes were thorough, which helped the employer make safer recruitment decisions when employing new staff, although we identified that the provider made use of temporary interns for administrative duties who had not undergone Disclosure and Barring Service (DBS) checks.

Staff had completed a comprehensive induction, and a training programme was available that helped them meet the needs of the people they supported. The registered manager held qualifications in training delivery. Records demonstrated people’s capacity to make decisions had been considered as part of their care assessment.

People were involved in planning their care, and their views about their care and support was incorporated into how care was delivered.

The registered manager had a clear oversight of the service, and of the people who had used or were using it. However, there was no formal audit system in place.