Safe and Sound Homecare Limited is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to adults. At the time of this announced inspection of 21 August 2018 there were 18 people who used the personal care service. We gave the service 24 hours’ notice of the inspection to make sure that someone was available to see us, this was because the registered manager also undertook care visits.

This service was registered in September 2017, this was their first inspection.

There was a registered manager in post, who was also a managing director of the organisation. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

There were systems in place designed to provide people with safe care. There were enough care workers to ensure that all planned visits for people were completed. Care workers were recruited safely. Where people required support with their medicines, this was done in a safe way. There were infection control procedures in place to reduce the risks of cross infection. Risks to people were managed, including risks from abuse and in their daily lives. The service learned from incidents to improve the service.

People received an effective service. People were cared for by care workers who were trained and supported to meet their needs. People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Where people required assistance with their dietary needs, this was provided. People were supported to have access to health professionals where needed. The service worked with other organisations involved in people’s care to provide consistent care.

People received a caring service. People had positive relationships with their care workers. People’s dignity, privacy and independence were respected and promoted. People’s views were listened to and valued.

People were provided with a responsive service. People received care and support which was assessed, planned and delivered to meet their individual needs. There were systems in place to support and care for people at the end of their lives, where required. A complaints procedure was in place.

People received care and support from a service which was well-led. There were systems in place to assess and monitor the service provided to people. The service had a quality assurance system and shortfalls were identified and addressed. As a result, the quality of the service continued to improve.