About the service: Triband Care Services Ltd. is a domiciliary care agency providing a service to people living in their own homes. People’s support is based upon their individual needs. At the time of this inspection the service was supporting 92 people with their personal care.

People’s experience of using this service: Some risks to people had been assessed however we identified further work was needed in this area. People told us they received their medicines as prescribed however, we found that some records relating to medicines were not always maintained correctly. The management team recognised this was an area requiring development. We identified some gaps in recruitment records relating to staff work history and references.

The registered manager/provider carried out some checks and audits however these were not robust.

Feedback from people and relatives about the service was mainly positive. Staff knew how to safeguard people from abuse and how to report any concerns if they suspected abuse.

Staff received the training the provider deemed mandatory to carry out their roles. People were supported to take their medicines by trained staff who had been assessed as competent in this area.

Emergency contingency plans were in place to help ensure the service continued to function in the event of an adverse incident. Where incidents had taken place these were analysed, lessons were learnt and embedded into practice.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. However, we identified that whilst consideration had been given to people’s ability to make decisions mental capacity assessments were not always decision specific and further work was required in this area.

The service was flexible in meeting people’s needs and people received a personalised service. Staff told us the management team were supportive and approachable.

Telephone feedback was sought from people and their relatives. A system for recording and responding to complaints was in place. The service worked with other agencies and professionals to support people.

We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around governance.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection: This was the first inspection of the service since it registered with CQC in December 2017.

Why we inspected: This was a planned inspection based on when the service first registered with CQC.

Enforcement: Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.