Best Pinnacle Care Limited

Date of assessment: 21 to 29 June 2026.

The service provides personal care support to adults and people with a learning disability in their own home. At the time of the inspection 6 people received a regulated activity. This inspection was carried out to follow up on the previous rating of requires improvement and to review breaches of regulation in relation safe care and treatment and governance identified at the last inspection.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We saw the provider was now working within the guidance. Health passports were now available to support people with safe transitions into other services or if they required hospital admission.

The provider now assessed risks to people’s health and safety, and care plans were now available for people with specific health conditions. Medicines records were now more comprehensively completed.

The provider now had safe recruitment practices in place and checks were completed in line with the provider’s policy and legislation.

Audits being completed were now effective and identified shortfalls and actions required to make improvements. We saw where improvements had been made following audits being completed.

The provider had made improvement and were no longer in breach of legal regulations in relation to safe care and treatment and governance.

Date of assessment: 19 January to 10 February 2026. The service provides personal care support to adults and people with a learning disability in their own home. This was the first assessment since the service had registered with CQC. At the time of the assessment the service was supporting 11 people with a regulated activity.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. Although we saw evidence the service sometimes worked within the guidance, for example, producing easy read documents we also saw in some areas they did not. This included a hospital passport not being available for a person with a learning disability.

The provider did not always assess risks to people's health and safety or mitigate them when identified. Risk assessments were incomplete and did not include all known risks. People did not always have care plans for specific health conditions to guide safe practice, although the provider updated this during the assessment. Safe recruitment practices were not always being completed in line with the provider’s policy and legislation. Safe environment checks were not always being completed. Governance systems and audits were not always effective in identifying or addressing areas for improvement.

However, people told us they were happy with the service, staff and leaders. People were supported to live healthy lives. Consent processes were in place, and the provider had supported people to put plans together for their future wishes. The provider worked with other health and social care providers to ensure people’s needs were being met. There was a shared vision and culture based on listening, learning and trust. Leaders were open, honest and transparent. Staff felt supported and received regular support and supervision in their roles.

We identified two breaches of the legal regulations in relation to safe care and treatment and governance of the service.

We have asked the provider for an action plan in response to the concerns found at this assessment.