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Advanced Care and Support in the Community Good

Inspection Summary

Overall summary & rating


Updated 10 January 2020

About the service

Advanced Care and Support in the community is a domiciliary care service. It provides care to people living in their own homes. At the time of our inspection they were supporting 58 people. The agency provided services for younger adults and older adults with physical disabilities, sensory impairment and dementia.

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.

People’s experience of using this service

People and their relatives spoke highly of the care workers who visited them and the management of the service. A relative told us, “We had three agencies before, these are by far the best.”

People had continuity of care from staff and a management team who knew them well and were flexible to meet their needs and preferences.

People told us their care workers were usually reliable and arrived on time but if there were any issues then the office would contact them and let them know.

People told us they felt safe and they were cared for by staff who were well-trained and understood how to protect them from abuse. Risks faced by people were assessed and documented and staff understood how to mitigate them.

People and their relatives told us that when things went wrong they were comfortable in contacting the office and confident they would be listened to. People who had raised concerns in the past said their concerns had been dealt with appropriately.

Staff told us they enjoyed their work and felt supported by the management team. Many staff had worked there for many years and they told us that the service had a “friendly” and “family” atmosphere.

Staff were recruited safely. There were robust quality assurance systems in place and the service was working to best practice guidelines and current legislation.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at

Rating at last inspection:

The last rating for this service was good (published 23 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 10 January 2020

The service was safe.

Details are in our safe findings below.



Updated 10 January 2020

The service was effective.

Details are in our effective findings below.



Updated 10 January 2020

The service was caring.

Details are in our caring findings below.



Updated 10 January 2020

The service was responsive.

Details are in our responsive findings below.



Updated 10 January 2020

The service was well-led.

Details are in our well-led findings below.