This inspection took place on 07 and 08 March 2017 and was announced.

Penny Emberton / Gemini Care - Stanwardine Grange provides personal care and support to people living in their own homes. At this inspection they were providing personal care for nine people.

The registered provider was present at this inspection. 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. The registered provider was supported day to day by a manager and a deputy manager.

People were safe from the risks of abuse as staff had been trained and knew how to recognise and respond to signs of abuse or ill-treatment. People were involved in their individual assessments of risk associated with their care. Staff knew what actions to take in order to minimise the potential for harm to people. The provider followed safe recruitment practices with staff members before they started working with people. The provider had systems in place to address any unsafe staff practice including retraining and disciplinary processes if needed.

People were supported at times that suited their individual preferences. Staff were punctual and arrived at times agreed with people. People received help with their medicines from staff who were trained to safely support them.

People received care and support from staff members who had the skills and knowledge to meet their individual needs. New staff members received an induction to their role and were equipped with the skills they needed to work with people. Staff attended training that was relevant to the people they supported and any additional training needed to meet people’s requirements was provided.

People’s rights were maintained by staff members who were aware of current guidance and legislation informing their work. People were involved in decisions about their care and had information they needed in a way they understood.

People’s privacy and dignity was promoted by staff members who supported them. People were supported to access healthcare when they needed. Any changes to people’s needs were responded to promptly by staff members. People received support and guidance to eat and drink sufficient amounts to maintain good health.

People had positive relationships with the staff members who supported them. People’s likes and dislikes were known by staff who assisted them in a way which was personal to them. People were confident that information personal to them was kept confidential and only shared with their permission.

Staff members were supported by a management team who they found approachable and who valued their thoughts and opinions. The provider and management team undertook regular quality checks in order to drive improvements. The provider engaged people and their families and encouraged feedback. People felt confident they were listened to and their views were valued.