This inspection took place on 16 May 2018 and was announced. We gave the registered manager notice of our intention to visit because we wanted to make sure someone would be at the office who could answer our questions during the inspection.

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older people and younger adults. At the time of our inspection, 10 people received personal care. This was the first inspection of this service this service was registered in February 2017.

There was a registered manager working at the service at the time of our inspection. 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.

People told us they felt safe while receiving care and support. Staff understood their responsibility to report abuse and knew who they should report this to. People had risks associated with their care assessed, but we could not be sure how well some risks such as those associated with money and skin care had been managed. Accidents and incidents were not well managed. Regular staff who people knew were employed and there were sufficient staff to care for people.

Where people needed assistance with their medicines these were administered by staff who had undertaken training. Staff followed guidelines to reduce the risk of cross infection and had access to personal protective equipment as required.

Systems in place to ensure staff were suitable to work with people in their own homes and other checks had taken place and to make sure people were safe. The registered manager knew what action to take in the event of unsuitable staff gaining employment.

People had their needs assessed and information about their care and support was available for staff. The service had an electronic care plan system which staff were able to access to obtain current information about people. The electronic system was used by staff to book in and out of their calls which enabled office based staff to monitor the calls to ensure calls where undertaken as scheduled.

People believed the staff caring for them to be trained and able to support them. Staff had received regular training including induction. Staff felt supported by the management. People confirmed staff sought their consent prior to receiving personal care, however the registered manager and staff did not have a good understanding of the Mental Capacity Act (2005.)

People and their relatives told us staff were kind and caring. People confirmed staff ensured their privacy and dignity maintained while receiving care. Where needed staff had assisted people with healthcare appointments and staff knew what they needed to do in the event of finding a person unwell.

People were confident they could raise concerns about their care and believed they would be listened to. People and staff spoke highly of the management and had confidence in them. The manager had some systems in place that monitored the quality of the service.

You can see what action we told the provider to take at the back of the full version of the report.