We had planned to carry out an inspection of this service, however following concerns received by CQC this responsive inspection was conducted to look at a number of issues. Due to the nature of this service we were unable to speak with people who used it. On this occasion we were unable to observe any care or support provided to people. However, we saw correspondence from two people, one relative and one health professional, which thanked the service for their help and paid compliments to the crew. Comments included, 'Excellent care' and 'Professional service'. The Commissioners of the service told us that the provider was reliable, and that the service appeared 'well planned'. They told us that any issues raised were dealt with quickly by the provider.
During this inspection we found areas of concern. People's needs were not always assessed and care and treatment was not always planned. The provider had not taken reasonable steps to help protect people from abuse. People were not fully protected from the risk of infection because systems were not in place. The provider did not have appropriate arrangements in place to manage medicines. Systems were not in place to ensure that people were fully protected from unsafe or unsuitable equipment. The provider had failed to ensure there were effective recruitment processes in place. The provider did not have an effective system to regularly assess and monitor the quality of the service that people received.