This inspection took place on 16 May 2017 and was announced. We told the provider we were coming as we needed to be sure the management team were available to speak with us. This was the service's first inspection since it was registered in March 2015. Trust care agency is a domiciliary service which provides personal care and support to people in their own homes. At the time of our inspection there were eight people receiving the regulated activity of personal care.

There was a registered manager in post. 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 received visits from consistent staff at their preferred times and for the duration they had agreed. People were supported by staff who received on-going training and guidance for their roles. Feedback indicated satisfaction with the care provided by staff.

People felt safe using the service and risk assessments were in place which helped staff to keep people safe and mitigate risks. Some risk assessments needed more detailed guidance for staff to follow, but the management team had already identified this as an area for improvement. Other relevant risk assessments, such as those relating to choking and the use of bed rails, needed to be implemented to ensure staff had guidance and people were safe.

People were supported to make their own choices and this was reflected in their care records. The service was reviewing people’s ability to make their own decisions, to ensure that the service acted in accordance with the Mental Capacity Act 2005 (MCA) when necessary.

Staff had received safeguarding training to help them to identify any concerns or suspicions of abuse to help protect people using the service. Recruitment checks were conducted appropriately to ensure that people were supported by staff who were suitable for the role.

People were involved in their care planning and their independence was promoted. Care was taken to gather information about people's interests and preferences. Feedback indicated that people were treated with dignity and respect by staff.

People were supported to seek further healthcare support as required to promote their health.

There was a complaints process in place should people or relatives wish to raise concerns.

The registered provider had systems and processes in place to support the safety and quality of the service. The management team had plans to develop and drive improvement at the service and were receptive to our feedback.