The inspection took place on 26 February 2018 and was announced. The service was rated Good at the last inspection in December 2015. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults.

At our last inspection we rated the service 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.

At this inspection we found the service remained Good.

We spoke with two people who used the service and four relatives who all gave positive feedback about the care being delivered and the staff who provided it.

Staff were recruited safely and training had been provided to enable them to support the people in the community. Staff were also supervised and appraised regularly so they were supported in their role. Staffing was consistent and people were given information on which staff was going to visit them in the coming week.

We found medication procedures were safe and regularly audited. Staff had received training to ensure they had the competency and skills required.

Care plans and risk assessments were person centred and detailed how people wished and needed to be supported. People we spoke with supported the documented evidence that they had consented to the care being delivered. They were regularly reviewed and updated as required.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions. We saw that people were supported to make their own decisions and their choices were respected.

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

The provider had systems available to them to monitor the quality of the service and drive improvement. Quality audits such as staff training, care plans, medication, accidents and safeguarding were in place as well as service user questionnaires and staff meetings. This demonstrated that they were committed to providing the best care possible for the people receiving a service from Spiritual Inspiration. People understood how to make a complaint if they were dissatisfied with the service.

Further information is in the detailed findings below.

The inspection took place on 1 December 2015 and was announced. The provider was given three days’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. We also needed to gain permission to meet with some of the people who used the service. This was the first inspection of the service since it was registered with the Care Quality Commission in 2014.

There was 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.

Spiritual Inspiration Ltd is a small domiciliary care agency which provides a range of services for people over the age of 18 in their own homes. Services include personal care, medication and activities that have delegated responsibility from a healthcare professional such as peg feeding and rehabilitation. The company office is based in the centre of Middlewich with ground floor access and parking available nearby. At the time of our inspection there were 26 people using the service and 16 staff members.

Throughout the inspection we consulted people who used the service and where appropriate, their representatives. We also spoke with staff from the service and obtained the views of a number of health and social care professionals who had contact with the service. Feedback was positive and people said they had no concerns about the care they received or the staff who provided it. People told us that staff were caring and treated people with dignity and respect. They told us that the service provided was excellent. They said they had complete trust in the staff and felt safe when they were around.

Staff spoken with were confident about any action to take if they had any safeguarding concerns and were confident the registered manager would follow up any concerns they might have.

Risk assessments clearly identified any risk and gave staff guidance on how to minimise risk the risk. They were designed to keep people and staff safe whilst allowing people to develop and maintain their independence.

People were supported by stable and consistent staff teams who knew people well and had received training specific to their needs. Efforts were made to match staff with people by identifying any shared interest, hobbies and compatibility.

Staff told us they enjoyed their work and were well supported through supervision, appraisals and training. The registered manager spoke highly of the staff team describing them as committed and enthusiastic in their approach to their work.

Staff had high expectations for people and were positive in their attitude to supporting them. They were respectful of the fact that they were working in people’s homes. The service offered flexible support to people in order to meet their needs.

Care plans offered person centred care and ensured the person was fully involved in setting goals and monitoring and reviewing achievements. The care plans clearly guided staff in how to support people well at various times of the day and in different situations. This allowed a consistent approach form staff when they were supporting people in their own homes.

The management team had a clear set of values which were apparent throughout our visit. People who used the service told us that the service was excellent, well organised and effective. Staff told us they felt valued and empowered. They said the management team were supportive and the service was very well managed.