Aspire PC Limited

The service was last inspected on 13 March 2017. The overall rating after that inspection was requires improvement. A requirement notice was issued for regulation 17 good governance. The governance systems required embedding to ensure regulations were met. Following the last inspection, we asked the registered provider to complete an action plan to show what they would do and by when. The service had made improvements so that this regulation was now met.

Aspire PC Limited is a domiciliary care agency. It provides personal care for people living in their own homes. Not everyone using Aspire PC Limited receives the regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. At the time of the inspection, there was one younger adult who used the service for personal care.

There was a manager at the service who was registered with CQC. 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 and associated Regulations about how the service is run.

The leadership, management and staff were passionate about providing a person centred and caring culture. (Person centred means that care is tailored to meet the needs and aspirations of each person, as an individual.) The management team and staff shared the vision of the service. Staff were very committed to providing care that was centred on people's individual needs.

The relative of the person who used the service had confidence in the care delivered and told us their relative received good care and support. They told us their relative felt safe, the staff were caring, kind and respected their choices and decisions.

Care records for the person were detailed, reflected the needs of the person who used the service and had been reviewed. This included risks associated with the health, safety or wellbeing of the person.

The person who used the service was supported with their health and dietary needs, where this was part of their plan of care or in an emergency.

The person who used the service was 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 practice.

The relative of the person who used the service told us when they or their relative raised any issues with staff

and managers, their concerns were listened to and acted upon.

Staff were familiar with the person's individual needs and were able to describe how they maintained people's privacy and dignity.

Staff told us they worked as part of a team. There was a regular team of care staff who knew the person they supported well. When staff were recruited, a system was in place so that the relevant information and documents were obtained. The service had systems and processes in place to provide training and supervision for staff so that they had the skills, knowledge and experience to deliver effective care and support.

Systems and processes were in place to protect people from abuse and avoidable harm, including the management of financial transactions.

The five questions we ask about services and what we found