- Homecare service
Open Doors Healthcare Services Ltd
Assessment report published 20 November 2025
Contents
Ratings
Our view of the service
Date of assessment: 2 October 2025 to 10 October 2025. The service provides care and support to adults living in their own home and were providing support to 14 people with the regulated activity of personal care. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. We undertook this assessment as the service was previously rated requires improvement, so we checked to see if improvements had been made. The service had improved. We found care plans were more detailed and person-centred and individual risks were identified, assessed and mitigated against. Although governance systems had improved, these had not picked up shortfalls in recruitment practices. These shortfalls had not impacted on people’s care. The registered manager took action straight away to improve recruitment processes and developed an action plan to ensure improvements were sustained.
There were enough staff to meet people’s needs. Staff had received training and supervision to develop their skills and the registered manager carried out observations and checks of staff practice while delivering care to people in their own home to ensure safety and quality was maintained. Where people did not have a relative or friend who could support them to maintain their health and well-being, staff referred people to healthcare professionals if people needed this support and followed their guidance where relevant. Staff understood their role, and their responsibility to make sure people were safeguarded from abuse.
People's experience of this service
People, relatives and staff were overwhelmingly positive about the management and leadership of the service and all the people and relatives we spoke with spoke of the good quality care they received from staff, who were kind and compassionate.
People told us they felt safe and that they were confident in the staff’s abilities to provide the care that met their needs. Staff knew people well and people were introduced to staff before they provided their care. People told us staff respected them and their home and that they did not feel rushed when staff were visiting, they had time to chat and get to know each other.