This inspection took place on 13 December and was announced. This was Sunny Medicare’s first inspection since their registration in November 2016.. We have rated Sunny Medicare overall as ‘Requires Improvement’. Sunny Medicare Limited are registered to provide the regulated activity of personal care. 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 and younger disabled adults. There were two people using this service at the time of our inspection.

There was a registered manager in post at the time of the 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. The registered manager was also the provider.

We found that the provider had not carried out Disclosure and Barring Service (DBS) checks on their staff. The DBS helps providers reduce the risk of employing unsuitable staff from working with people who use care services. People’s medicines were not always managed safely.S People were cared for by staff who had received infection control training. People had regular quality assurance visits from the registered manager and were happy with the care they received.

People were supported by staff who arrived at their calls on time. People were supported to eat and drink well. People’s choices were respected and their consent sought. People were supported to access healthcare in the community.

People were supported by staff who had completed an induction training programme. People had regular staff who knew them well. People were involved in the review of their care. People’s privacy and dignity was respected. People were supported to have maximum choice and control of their lives and were supported in the least restrictive ways possible

People were supported by kind and compassionate staff. People were encouraged to maintain their independence. People’s dignity and privacy was respected. Staff felt supported by the registered manager.

People’s views and preferences were respected. People were supported by regular staff who knew them well. People’s cultural needs were respected..

Effective systems and processes were not in place to assess, monitor and improve the quality of the service provided. Records did not reflect peoples current needs. There was no oversight of the quality of care people received. There was an open and transparent culture at Sunny Medicare and the registered manager and staff were very honest about where they could improve.

There were insufficient and inadequate systems in place to monitor and improve the quality of the service. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.