Ruby-Rose Supported Living Services is a domiciliary care agency (DCA) which provides twenty-four hour care and support for people with a learning disability. At the time of our inspection, one person was being supported by the service. The inspection took place on 25 May 2017 and was announced.

The service was run by the provider who was also the 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 and associated Regulations about how the service is run.

Systems and processes were in place to ensure the safe recruitment of staff with sufficient numbers of staff employed to safely meet people's needs.

The registered manager and staff understood their responsibilities in terms of safeguarding people from abuse and managing risk. People were supported with their medicines by staff who were trained and assessed as competent to give medicines safely.

Staff understood the principles of the Mental Capacity Act 2005 and people were supported to make their own decisions wherever possible. Staff asked for people’s consent before supporting them in ways they were comfortable with.

Staff were supported to carry out their role effectively. There was a regular programme of training with opportunities for specialist training relevant to meeting the needs of the people using the service.

People were supported to have enough to eat and drink to maintain their health whilst respecting their preferences. They had access to health professionals when needed and were supported to attend health appointments.

Care was personalised and met people's individual needs and preferences. Staff treated people with dignity and respect, promoted their independence and positive relationships with people who used the service had been formed and maintained.

Relatives told us they felt able to raise any concerns with the registered manager. Staff told us that the registered manager was approachable and accessible.

There were systems in place to monitor the quality of the service and the registered manager was committed to improving the service and comments and concerns were used constructively to drive improvements.