This inspection took place on 05 and 11 April 2017 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because the service provides domiciliary care and we wanted to make sure staff would be available. This is the first inspection since registration with us on 04 September 2016.

Sugarman Health and Wellbeing is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of the inspection the provider was supporting four children.

The provider is required to have 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A registered manager was in post at the time of our inspection.

Care and treatment was planned and delivered in a way that was intended to ensure the children’s

safety and welfare. Children were cared for safely by staff that had been recruited and employed after appropriate checks had been completed. This included checks about staff suitability to work with children. There were sufficient staff to meet people's needs consistently. Children were supported to take their medication by staff who had received training to do so.

Children were protected from the risk of abuse and avoidable harm because staff received training and understood the different types of abuse and knew what actions were needed to keep children safe. There were detailed procedures in place for reporting concerns if required.

The provider ensured effective systems were in place to report and investigate any concerns raised, which included working with external agencies.

Staff had a good understanding of the needs of the children they were supporting. Staff worked closely with family members to promote choices and independence. Decisions were made in the children’s best interests and there was extensive consultation with other healthcare professionals and parents to ensure that the children’s needs were planned for and met.

Parents were involved in reviews and care records reflected what care was being provided and updated when needs changed.

Parents knew how to complain if they were unhappy and they were confident that their concerns would be responded to efficiently and effectively.

Staff and relatives were positive about the service provided because the provider had systems in place to monitor the service to ensure good care was delivered. The systems and procedures were reviewed on a regular basis and updated when required.