The inspection took place on 9 and 11 January 2019 and was announced.

The service provides personal care to people living in their own houses in the community. It provides a service to disabled adults living in their own homes. Some people receive 24 hour support and others have support at arranged times through the day.

At the time of the inspection nine people were using the service. Three of these people were living in a shared bungalow and others live alone. Currently all the people who use the service live in a newly developed close of flats and bungalows. There is an on-site office, which is a base for the staff who provide the service.

This was the first inspection for this service.

The service had a registered manager. 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.

Recruitment processes were robust, which helped the employer make safer recruitment decisions when employing new staff.

There were systems in place to reduce the risk of abuse and staff were confident about reporting concerns.

Personal and environmental risks were assessed to ensure people could be supported in the least restrictive way possible; the policies and systems in the service supported this practice. Incidents and accidents were monitored, and action was taken to reduce risks.

People had been assessed to check if they were able to administer their own medicines. Plans had been put in place to ensure people were given the required support to take their medicines according to their individual needs. We saw that medicines were given safely.

Staff had undertaken a range of training that met people's needs. Staff told us they felt very well supported and have opportunities to develop their knowledge and skills.

People were supported to lead healthier lives and maintain appropriate diets.

People told us they found staff caring and that care was delivered in a way that maintained their privacy and dignity. People were supported to be as independent as possible. We received some feedback about how people’s independence had increased and people were being supported to develop new skills.

People had care plans reflecting their likes, dislikes, needs and preference and we saw that people were involved in the assessment of their care. Staff worked with other healthcare professionals to ensure people received a seamless service that met all their needs.

The people we spoke with told us they knew how to raise any concerns and said they felt comfortable doing so. Procedures were in place to record and investigate any concerns or complaints.

We saw that, where this was a feature of the service, people were encouraged to take part in meaningful activities and that the service was highly flexible to support people to do this.

The registered manager was aware of national guidance and good practice and work was ongoing to improve the service in-line with these. The registered manager was interested and involved in making improvements in the wider care sector.

People were consulted about their satisfaction with the service and people generally told us they were happy with the services being provided. Some people, or their representatives, felt there could be improvements to the way the service communicated with them.

We were told that people using the service and staff had good relationships with the management, who were accessible and approachable. The management team regularly checked the quality of the service with a view to continuous learning and improvement. There was a comprehensive audit system in place and processes to gather and learn from feedback about the service.