Premier Care Limited - Specialised Services

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Date of assessment: 29 October to 21 November 2025.

Premier Care Limited Specialised Services was registered as a domiciliary care agency providing personal care to people in their own homes. The service was supporting 6 people with a regulated activity at the time of the assessment.

The assessment was triggered by intelligence we received from the local authority. The local authority had been working with the provider and had agreed to a temporary suspension of new referrals since May 2025.

The service has been rated inadequate. The provider was previously in breach of the legal regulation in relation to good governance. Improvements were not found in this assessment, and the provider was still in breach of this regulation.

We identified 5 breaches of the legal regulations. The service was in breach for person centred care, need for consent, safe care and treatment, staffing, and good governance.

We found significant shortfalls in how the service had been led. The provider had failed to maintain effective governance systems. Significant improvements were needed across the service. A new management team had started this work and improvements were being implemented. Senior staff still needed to be recruited, and any improvements also needed to be fully established and sustained.

People’s care plans were not fit for purpose and needed updating to ensure they met people’s needs. This included the need for consent and documentation to support people who were not able to consent. Staff did not always assess risks to people's health and safety or mitigate them where identified. Safeguarding policies were not consistently followed. Staff did not always receive the level of training and support required to work safely. We identified health and safety shortfalls in relation to people’s homes.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

We visited 4 properties and engaged with 6 people.

We received mixed feedback. People told they had not been consulted properly about who they lived with and this had a negative impact on their quality of life.

People told us staff were kind and caring. One person told us, “They help with my showering, the staff support me. I can’t’ cook to save my life. Staff are good. They are kind.” Our experience of the support workers during 4 site visits on 4 different days matched this feedback. Despite the barriers they faced the support workers were committed to their work.

We saw evidence people had completed feedback forms with staff to gather their views on care and resident’s meetings had taken place to promote people’s involvement.

The provider acknowledged the care provided to people did not meet the expected standards. They were in the process of making improvements.