About the service: Trust Quality Care is a domiciliary service that was providing personal care to 67 people living in their own homes at the time of the inspection.

People’s experience of using this service:

People were supported safely and from safe they knew and trusted. Staff knew how to recognise potential abuse and who they should report any concerns to.

Staff understood the risks to people’s health and how best to support people. Staff were trained to meet people’s needs and acted promptly to refer people to healthcare professionals when required.

Staff recruitment processes included a check of their background to review staff suitability to work at the

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.

People enjoyed positive relationships with the staff team and were treated with kindness and respect. People’s independence was promoted by staff who encouraged them.

People’s needs and routines were known and supported by staff who ensured these were met and respected. People knew how to complain if needed, and were confident any comments or concerns were listened and acted on.

People and staff were happy with the way the service was led and managed and the provider worked well with external professionals to ensure people’s needs were met.

Service management and leadership was consistent and areas for improvements were identified. The registered manager gathered people’s views and experiences and made any necessary improvements.

We found the service met the characteristics of a “Good” rating.

Rating at last inspection: Good (Report published on 22 December 2016)

Why we inspected: This inspection was a scheduled inspection based on previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.

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

Trust Quality Care is located in Sparkhill, Birmingham. It is domiciliary care agency which provides support to people in their own homes. It supports people with mental health difficulties, learning disabilities, people living with dementia, and people with physical disabilities. On the day of our inspection, there were eight people using the service.

There was a registered manager at this service, who was present on the day of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered providers and registered managers 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 were supported by staff who knew how to keep them safe. People's right to choose who supported them was respected. Where issues with reliability and conduct of staff were identified, swift action was taken.

People were protected from harm and abuse. People received their medicines safely.

People were supported by staff who received ongoing training and managerial support. People received help with eating and drinking. Staff liaised with other health professionals to ensure people's health was maintained.

People were treated with dignity and their cultural needs were respected. People were involved in decisions about their care.

People's changing health and wellbeing needs were responded to. People's needs were assessed and reviewed. People's individual preferences were known by staff.

The registered manager was approachable and supportive. The provider's visions and values were shared by the staff team. The quality of people's care was kept under constant review to ensure people were happy with the support they received.