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Archived: Positive Horizons Limited Outstanding

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 20 November 2019

About the service

Positive Horizons Ltd is a domiciliary care agency providing personal care to 65 people in their own homes at the time of the inspection. Not everyone who used the service received personal care. The Care Quality Commission (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 and what we found

Exceptional care was provided by all the staff and people spoke extremely highly of the care provided. The registered manager and provider were passionate about delivering an outstanding and high-quality service. People were cared for by compassionate staff who respected people’s privacy and dignity Promoting people’s independence was a high priority for all staff. A client welfare officer role had been introduced leading to improved communication with people. Systems ensured that people and their relatives were central to care planning and were partners in their own care.

The service was outstandingly well-led. The registered manager and provider led a positive culture of high quality, person-centred care and service improvement. The service worked in partnership with other agencies to lead by example in the area. People and staff felt involved in the service and feedback was consistently sought to drive quality. Staff wellbeing was considered a priority and the provider understood this enabled good quality care for people.

People were cared for in a safe manner. Staff were appropriately recruited and trained to enable safe care. There were enough staff to deliver care across the geographical area. Risks were managed and appropriately recorded. People received their medicines as prescribed and good infection control practice was in place. Lessons were consistently learnt when things went wrong.

People’s needs and choices were acknowledged and respected. Care was planned to ensure people’s needs were met in a person-centred manner. Staff were effectively trained in a wide range of topics. Staff worked closely with other healthcare professionals to ensure people were supported to live healthier and independent lives. People were supported to eat and drink enough.

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.

People's care and support was planned in partnership with them. Any concerns or complaints were addressed and followed up in an appropriate and respectful manner. People were supported to have a comfortable and dignified death when care was at the end of their lives.

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 25 January 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 20 November 2019

The service was safe.

Details are in our safe findings below.



Updated 20 November 2019

The service was effective.

Details are in our effective findings below.



Updated 20 November 2019

The service was exceptionally caring.

Details are in our caring findings below.



Updated 20 November 2019

The service was responsive.

Details are in our responsive findings below.



Updated 20 November 2019

The service was exceptionally well-led.

Details are in our well-led findings below.