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Inspection carried out on 27 November 2017

During a routine inspection

This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It provides a service to older adults, younger adults, people living with dementia, or those with sensory impairment or physical disability. At the time of our inspection visit, three people were using the service.

CQC only inspects the service being received by people provided with ‘personal care’ such as help with tasks related to personal hygiene and eating. We also take into account any wider social care provided.

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.

There were enough staff to meet people’s needs and a robust recruitment policy in place. The staff were aware of safeguarding procedures. There were risk assessments in place with guidance on how to mitigate risks to people, in respect of falling, mobility and equipment.

People were supported with their medicines where required, however improvements were needed around the recording and care planning of ‘as required’ (PRN) medicines.

Staff had undertaken qualifications and training relevant to their role, however we have made a recommendation around further training when the service employs new staff. There was a comprehensive induction process in place.

Staff supported people to have a healthy balanced diet and to drink enough if this was needed. They were responsive to people’s changing needs, and assisted them to access healthcare when required.

The service worked with other organisations to meet people’s needs, including sharing information and gaining advice. They provided compassionate care, including to people towards the end of their lives. People were treated with dignity, and their privacy respected.

Relatives were involved in people’s care planning and delivery. People’s choices were respected and staff promoted people’s decision making and independence. They understood people’s mental capacity and sought consent before delivering care to people.

There was good leadership in place and the service sought feedback from people in order to improve. They had quality assurance systems in place and the registered manager was aware of their responsibilities.