We conducted an announced inspection of Target Care on 28 April 2017. We gave the provider 48 hours’ notice to ensure the key people we needed to speak with were available. At our last comprehensive inspection on 9 December 2014 a breach of regulations was found in relation to medicines.

Target Care provides care and support to people living in their own homes. There were three people using the service when we visited.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Risk assessments and care plans contained enough information for care staff. All records were reviewed within six months or sooner if people’s needs changed.

Care staff assisted people to take their medicines safely. Care workers told us they had completed medicines administration training and understood how to safely administer medicines.

Safeguarding adults from abuse procedures were robust and staff understood how to safeguard people they supported. Staff had received safeguarding adults training and were able to explain the possible signs of abuse as well as the correct procedure to follow if they had concerns.

Staff demonstrated a good level of knowledge about their responsibilities under the Mental Capacity Act 2005. People signed their care records to indicate that they consented to their care.

Staff demonstrated an understanding of people’s life histories and current circumstances and supported people to meet their individual needs in a caring way. Care records contained enough information about people’s needs and preferences.

Recruitment procedures ensured that only staff who were suitable, worked within the service. There was an induction programme for new staff, which prepared them for their role.

Care workers were provided with appropriate training to help them carry out their duties. Care workers received regular supervision of their performance. There were enough staff employed to meet people’s needs and visits were appropriately arranged to ensure people’s needs were met.

Care workers supported people to maintain a balanced nutritious diet where this formed part of the package of care being provided to them. People were supported effectively with their health needs, when needed and were supported to access a range of healthcare professionals.

Relatives and staff gave positive feedback about the registered manager and told us they provided feedback about the service. They knew how to make complaints and told us they felt listened to. There was a complaints policy and procedure in place.

The organisation had effective systems in place to monitor the quality of the service. The registered manager reviewed various areas of the service on a regular basis. Information was reported to the CQC as required.

We conducted an inspection of Target Care Ltd on 11 May 2016. The service provides care and support to people living in their own homes and also provides agency care workers to a provider of care services, although this aspect of the service is not within our scope of registration. There was one person using the service when we visited. This meant that although we were able to carry out an inspection we did not have enough information about the experiences of a sufficient number of people using the service over a consistent period of time to give a rating to each of the five questions and provide an overall rating to the service.

There was a registered manager at the service. 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.

Medicines were not administered safely. We saw two errors in the medicines section of the person’s care record. The MAR chart confirmed the dosage being given to the person for one medicine and the registered manager confirmed this to be correct. We queried what the correct dosage was from the person’s GP and found that the person was being administered the incorrect dosage for one medicine.

Most information in risk assessments and support plans contained clear guidance. Records were reviewed within six months or more frequently where the person’s care needs had changed.

Safeguarding adults from abuse procedures were robust and staff understood how to safeguard people they supported. Staff had received safeguarding adults training and were able to explain the possible signs of abuse as well as the correct procedure to follow if they had concerns.

Staff demonstrated knowledge of their responsibilities under the Mental Capacity Act 2005.

Staff demonstrated an understanding of the life history and current circumstances of the person using the service client and demonstrated they were able to meet their individual needs in a caring way.

The person using the service confirmed they were involved in decisions about their care and how their needs were met. The person’s care plan reflected their assessed needs.

Recruitment procedures ensured that only staff who were suitable, worked within the service. There was an induction programme for new staff, which prepared them for their role.

Care workers were provided with appropriate training to help them carry out their duties. Care workers received regular supervision and appraisals of their performance. There were enough staff employed to meet the person’s needs.

The person using the service was supported to maintain a balanced, nutritious diet. They were supported effectively with their health needs and supported to access a range of community and hospital based healthcare professionals where needed.

The person using the service and staff told us they felt able to speak with the registered manager and provided feedback on the service. The person knew how to make complaints and there was a complaints policy and procedure in place.

The organisation had adequate systems in place to monitor the quality of the service. The registered manager reviewed the person’s care records and daily notes on a regular basis. He told us and the person using the service confirmed that they were asked for their feedback regularly.