This inspection took place on 13 March 2017 and was announced.

Pure HomeCare is registered to provide personal care and support for people living within their own homes. At the time of our inspection there were 72 people using the service. People's packages of care varied dependent upon their needs. There were 69 staff employed.

This was the first inspection of the service since re-registered at this location in April 2015.

Pure HomeCare had a registered manager. 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’s safety and welfare was promoted by staff that had received training and understood their role in protecting people from risk. Safety and welfare was further promoted through the assessment and on-going review of potential risks to people. Where risks had been identified measures had been put into place, which included the use of equipment to reduce the likelihood of risk and were recorded within people’s records and understood and implemented by staff.

The investment by the provider of I.T. systems was used to promote people’s safety, by recognising when staff had arrived at a person’s home. Should staff be delayed then an alert was generated which ensured action was taken. The system helped to ensure people were safe and confident that their care would be provided.

Staff upon their recruitment had their application and references validated and were checked as to their suitability to work with people, which enabled the provider to make an informed decision as to their employment. Staff underwent a period of induction and training. Staff were introduced to people whose care and support they would provide. Training provided to staff and their understanding of their role and responsibilities meant people were supported appropriately with all aspects of their care, which included support with their medicines.

People’s needs were effectively communicated, recorded and understood by staff that helped to ensure their needs were met. People’s care and support needs were electronically stored and staff used mobile devices to record the care and support provided. The IT systems also alerted staff should people not receive the care and support as detailed within the care plan, or when changes to people’s needs were made. This helped to ensure people’s care was monitored and that appropriate actions were taken to meet people’s needs.

Staff understood the importance of seeking people’s consent prior to providing care and support. Staff were aware of people’s rights to make decisions and were able to tell us how they encouraged people to express their opinions on their care and support. Staff liaised with health care professionals and kept in contact with people’s family members where they had concerns about people’s health. People received support with the preparation, cooking and eating of meals where needed to ensure people’s nutritional needs were met.

People’s records, including their care plans had been developed with the involvement of themselves or their relatives and provided information for staff about the person. The information was used to develop positive and professional relationships when delivering personal care and support, reflective of people’s wishes and preferences. People and their relatives in the main spoke positively about the attitude and care of staff, with many stating they received support and care from a consistent group of staff. Where changes to the staff involved in delivering people’s care had resulted in concerns being expressed, we found the care manager had taken action to further improve the continuity of care staff and had liaised directly with people or their relatives.

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