Rance Healthcare Services Ltd

Date of Assessment: 29 September to 6 October 2026. The service is a domiciliary care agency providing personal care to adults living with physical disabilities, learning disabilities or autism, mental health conditions, physical disabilities, and dementia. This is the first assessment for this newly registered service.

We assessed the service against ‘Right support, right care, right culture’. This guidance supported judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.

People felt safe when receiving care. Risks were assessed and managed by staff who were trained and safely recruited. There were systems in place to identify and report concerns for people’s safety and wellbeing, and staff followed infection control guidance to reduce the risk of infection.

People’s needs were assessed prior to them receiving care and care plans contained guidance for staff about people’s needs as well as their life experiences and individual preferences. The management team worked in partnership with other agencies to support people to maintain their health.

People received support from a caring team of staff who knew them well. Staff understood how people liked to receive care and promoted their independence where possible. The staff team was supported by the provider and felt able to contribute to the development and improvement of the service.

People’s care was planned and designed around their individual needs and choices. There were systems in place to ensure people’s communication needs were met, and people and their families were given regular opportunities to share their experience of care.

Feedback about the registered manager and nominated individual was positive and staff, people and relatives were complementary about how the service was managed. There were systems in place to monitor the quality of care people received and staff were supported to speak up if theyhad concerns and told us they felt listened to by the provider. The provider was open to suggestions made by the staff team and ensured learning was taken from any incidents.

We checked whether the service was working within the principles of the Mental Capacity Act 2005. We found that staff worked within the MCA and sought people’s consent before providing care and support. However, improvements were required to ensure people’s mental capacity to make specific decisions were clearly recorded. Medicines records did not always contain accurate information about people’s prescribed medicines; improvements were required to ensure records were clear and accurate. The provider’s governance systems had not identified these areas of concern.

Date of Assessment: 29 September to 6 October 2026. Rance Healthcare Services Ltd provides care and support to people living in supported living settings, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. This assessment looked at people’s personal care and support. At the time of our assessment there was 1 person in receipt of a regulated activity. The provider is registered to support autistic people, people with a learning disability, a mental health or sensory need and/or physical disability. This is the first assessment for this newly registered service.

We assessed the service against ‘Right support, right care, right culture’. This guidance supported judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.

The person received care that was tailored to their individual needs. Risks were assessed and managed by staff who were trained and safely recruited. There were systems in place to identify and report concerns for the person’s safety and wellbeing, and staff followed infection control guidance to reduce the risk of infection.

The person’s needs were assessed prior to them receiving care and care plans contained guidance for staff about the person’s needs as well as their life experiences and individual preferences. The management team worked in partnership with other agencies to support the person to maintain their health.

The person received support from a caring team of staff who knew them well. Staff understood how they liked to receive care and promoted their independence where possible. The staff team was supported by the provider and felt able to contribute to the development and improvement of the service.

The person’s care was planned and designed around their individual needs and choices. There were systems in place to ensure the person’s communication needs were met, and feedback about the person’s experience of care was sought through observation and communication with the person and supporting professionals.

Feedback about the registered manager and nominated individual was positive and staff, and professionals were complementary about how the service was managed. There were systems in place to monitor the quality of care the person received and staff were supported to speak up ifthey had concerns and told us they felt listened to by the provider. The provider was open to suggestions made by the staff team and ensured learning was taken from any incidents.

We checked whether the service was working within the principles of the Mental Capacity Act 2005. We found that staff worked within the MCA and sought the person’s consent before providing care and support. However, improvements were required to ensure the person’s mental capacity to make specific decisions were clearly recorded. Medicines records did not always contain accurate information about the person’s prescribed medicines; improvements were required to ensure records were clear and accurate. The provider’s governance systems had not identified these areas of concern.