Worcestershire Domiciliary Care Branch is registered to personal care for people who live in their own flats at Dorothy Terry House a purpose built scheme. There are shared facilities available such as a communal seating areas and a library. A café if located in a separate building. At the time of our inspection 39 people were receiving personal care.

The inspection took place on 20 and 24 January 2017 and was announced.

There was a registered manager 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 provider, 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 told us they felt safe when they were receiving care and while living within their own flats. Staff knew how to keep people safe and what risks people could be subjected to. Staff had received training on what abuse was and the action they needed to take if abuse was identified.

People felt there were sufficient staff available and told us staff arrived on time at their flat to provide the care and support they needed. Some people felt improvements in flexibility were needed which the registered manager showed us they were looking into at the time of our inspection. Checks were made on potential staff members prior to them starting work to ensure their suitability.

Staff received training and support to enable them to provide care and support to people. Staff felt supported by the management team and the team leaders. Staff received training and felt they could discuss their training needs with the management. People had their privacy and dignity maintained and staff were able to describe how they managed this.

People received appropriate support to ensure they received their medicines as prescribed and received healthcare support and advice to ensure their well-being. People received assistance with the preparation of meals and drinks as needed.

People were asked for their permission prior to receiving care and support so people were able to give their consent. Best interest decisions were in place where people were unable to make an informed decision on their own.

People were satisfied with the care they received and were supported in a way they wanted to be. People had care plans in place describing their needs and risks associated with their care. These were reviewed in line with people’s changing care needs.

Staff told us they enjoyed their work and liked the management team. People and their relatives were confident any complaints made would be listened to.

Systems were in place to monitor the service provided for people as a means to improve the quality of care and support people received.