Amber Care (lincolnshire) Limited

At the time of the inspection, they were providing a regulated activity of personal care to 76 people.

People's experience of using this service: We received very positive views from people about the support provided to them. When talking about the service people told us, "I am really happy with them," and "They do a fantastic job." Without exception people said they felt safe and staff were respectful.

The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People received their medicines safely and on time and their health was well managed. Staff had positive links with healthcare professionals which promoted people's well-being.

People said they received care in a timely way from a regular team of care staff. People told us, "We have the same group of carer's, from my husband's point of view this is very good. It is really important to him."

The provider had systems in place to safeguard people from abuse. Staff could recognise and report any safeguarding concerns if they suspected abuse. Relevant risk assessments had been completed. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to mitigate risks.

Staff had appropriate skills and knowledge to deliver care and support people in a person-centred way. Staff recruitment was safe and staff understood how to keep people safe.

People told us they were happy with the service they received and felt staff had a clear understanding of their needs and preferences. People were supported with good nutrition and could access appropriate

healthcare services.

Care plans had been developed and were regularly reviewed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People told us, "I can please myself and this is respected."

The registered manager and staff team worked together in a positive way to support people to remain as independent as possible and to be safe. Staff told us they were well supported by the registered manager and management team.

Checks of safety and quality were made to ensure people were protected. Work to continuously improve was noted and the registered manager was keen to make changes that would impact positively on people's lives.

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

Rating at the last inspection: Good: last report was published 1 November 2016. We rated the Well-Led domain as requires improvement. At this inspection we found improvements had been made to records for the providers audit systems.