Homecare (Mellor) Limited

People told us they felt safe with the service. However, thorough recruitment practices had not been carried out before staff started work. Managers on duty took immediate action to make improvements and ensure ongoing progress was made. We have made a recommendation about staff recruitment. Staff had received training on safeguarding adults at risk. They were aware of the signs and indicators of abuse and they knew what to do if they had any concerns.

There were enough suitable staff available to provide care and support; staffing arrangements were kept under review. Staff followed processes to manage people's medicines safely. Health and safety was monitored and risks to people's individual well-being were being assessed and managed.

Processes were in place to find out about people's backgrounds, their needs, abilities and choices before they used the service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported as appropriate with their healthcare needs. They were given support as necessary with meals and drinks, healthy eating was monitored and promoted. The provider ensured staff had access to ongoing training, development and supervision.

People made positive comments about the staff and managers. One person told us, "They are very efficient and reliable." Staff knew people well and were respectful of their choices. People's privacy and dignity was respected. People were encouraged to be independent as possible.

People received personalised care and support. They were involved in managing their care and ongoing reviews. Processes were in place to support people with making complaints.

Management and leadership arrangements supported the effective day to day running of the service. The provider used a range of systems, to regularly monitor and improve the service. There were processes to consult with people about their experiences of the service and make any improvements.

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