- Homecare service
Great Care Health Services
Assessment report published 3 August 2026
Contents
Ratings
Our view of the service
Date of assessment: 08 to 16 June 2026.
Great Care Health Services provides a domiciliary care service to adults with a range of conditions. The service is registered to provide care to older and younger adults, people with a learning disability, people living with dementia and both mental and physical health needs.
At the time of the inspection, the domiciliary care service was supporting 40 people with their personal care needs.
We found the provider to be in breach of regulation in relation to safe care and treatment, and good governance. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
We 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.
We found there was limited awareness and regard for ‘Right support, right care and right culture’ guidance. For example, the provider demonstrated limited awareness of the guidance, and people’s care records did not always consider the principles underpinning this guidance.
Systems for managing and reporting safety events were not always in place. Care plans did not always provide clear, detailed and person-centred information about people’s needs and preferences. Care records were not always reviewed on a regular basis.
There were not systems in place to ensure the principles of the Mental Capacity Act 2005 (MCA) were followed. We found this for both people who were assessed as having capacity and those assessed as lacking capacity regarding their care.
Staff training was not always adequate to meet the needs of people the service was supporting. Staff meetings did not take place on a regular basis. Governance arrangements were not always robust or effective.
People received effective transitions to the service. Relevant policies and procedures were in place. There was a process to report concerns and we saw evidence people, relatives and staff were confident these would be taken seriously. The provider had considered workforce wellbeing and inclusion. Staff demonstrated an awareness of people’s needs.
People's experience of this service
People and a relative told us they felt safe when supported by staff. However, safety events involving people experiencing harm were not always managed and reported to ensure incidents were not repeated.
People and relatives explained they knew how to raise concerns to the provider, and they had no concerns the provider would not take concerns seriously. A person we spoke with said, “I would call [the manager] if I had any issues; I’ve done this before.”
We were told by people and relatives that staff had the skills to meet people’s needs and that they knew people well. A relative told us, “I’ve no concerns. They [staff] really look after [my relative].”
People and relatives told us while they do not have regular and ongoing contact with the provider, they knew they could contact them should they need to.