The inspection took place on 04, 06 and 10 July 2017 and was announced to make sure that the people we needed to speak with were available. We gave the provider 24 hours’ notice of our inspection to make sure that the appropriate people were present.

SEA (Signing Enabling Access) Recruitment Services Ltd is registered to provide personal care for deaf people with other needs, such as a learning disability, blindness or a physical health condition. The service meets people’s needs in their own home, at Beach House, the supported living home and in other environments, such as a care home or hospital. There were 58 people who used the service at the time of our inspection, 16 of these received personal care as regulated by the Care Quality Commission (CQC) .

There were two registered managers in post who had registered with the CQC. A registered manager is a person who has registered with the 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 and associated Regulations about how the service is run. The provider for SEA Recruitment Agency is also one of the registered managers for this service.

Staff had received training in how to safeguard people from the risk of abuse and knew how to report concerns both internally and externally. Safe and effective recruitment practices were followed to help ensure that all staff were suitably qualified and experienced.

Where potential risks to people's health, well-being or safety had been identified, these were assessed and reviewed regularly to take account of people's changing needs and circumstances.

Staff were excellent in enabling people to achieve a fulfilling life, assessing any potential risks and keeping people safe. We saw that people were encouraged to take positive risks.

There were effective recruitment practices in place. Registered managers ensured they recruited staff who had not only the right skills and capabilities but also those with the right personalities, attitudes and values.

Plans, guidance and specialist equipment were available to help staff deal with unforeseen events and emergencies that might occur when providing support to people.

Staff sought to establish people's wishes and obtain their consent before providing care and support. Staff communicated using sign language, describing the task staff intended to do before carrying it out. People were kept informed about the care being provided.

Staff had regular supervisions with the provider where their performance and development were reviewed. Staff were provided with excellent opportunities for personal development and had all the relevant mandatory training to carry out the support worker role, plus other training specific to individual needs.

The service demonstrated they were working within the principles of the MCA. The provider participated in best interest meetings and assessed capacity in relation to specific decisions people had to make.

People were supported to access appropriate health and social care services in a timely way and received the on-going care they needed.

Care was provided in a way that promoted people's dignity and respected their privacy. People received personalised care and support that met their needs and took account of their preferences. Staff were knowledgeable about people's background histories, preferences, routines and personal circumstances.

Staff had access to detailed information and guidance about how to look after people in a person centred way, based on their individual preferences, health and welfare needs. Staff received specific training about the complex health conditions that people lived with to help them do their jobs more effectively in a way that was responsive to people's individual needs.

Opportunities were made available for people to take part in meaningful activities and social interests relevant to t