The Myriad Centre is registered to provide personal care for people who live in their homes. At the time of our inspection five people were receiving personal care.

The inspection took place on 17 November 2016 and was announced. We gave the provider 48 hours’ notice of the inspection because we needed to be sure they would be in.

A registered manager was not in post 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 was run. The provider was taking reasonable steps to address this, and had recently appointed a new manager. The new manager confirmed they would be applying to become the registered manager for the service.

People were supported by staff who understood their individual risks and who knew what actions to take if they had any concerns for people’s safety. Staff gave us examples of how people’s safety had been promoted through work with organisations with responsibility for helping to keep people safe. Risks to people’s well-being and health were assessed and people were supported to receive the care they needed. Where people needed assistance to take their medicines this was given by staff who knew how to do this safely.

Staff had the knowledge and skills they needed to care for people and were encouraged to obtain further training to meet people’s needs. Staff understood how to promote people’s rights and encouraged people to have enough to eat and drink to remain well. People were supported by staff who worked with external health professionals, so people would receive the support they needed to remain well.

People had built caring relationships with staff who knew people well, and understood what was important to people. People were treated with dignity and respect and staff helped to promote people’s independence by supporting people to make their own day to day choices.

People and their relatives were encouraged to decide how they would like their care to be planned and given. Care plans and risk assessments were adapted as people's needs changed. No complaints about the care provided to people had been received by the provider Systems for managing complaints were in place, so any lessons would be learnt.

People’s relatives and staff told us the culture of service was open and they were encouraged to provide their views on the quality of the service and to make suggestions for improving people’s care further. The Board of Trustees, provider and senior staff checked the quality of the care people received. Changes had been introduced to develop people’s care further, and action plans were used to drive through improvements to the service. Staff understood how the senior team and manager expected people’s care to be given, so people would receive the care they needed in the ways they preferred.