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Axe Valley Home Care Limited Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 18 March 2020

About the service

Axe Valley Home Care Limited (“Axe Valley”) was providing personal care to 110 people in their own homes aged 65 and over at the time of the inspection.

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 had not always been protected when raising concerns about poor practice. The provider/registered manager had not then ensured national and local policy and procedures were followed. The local authority and CQC had not been informed of allegations that had been made which meant external scrutiny and support had not been possible.

Other than the issue above, people and relatives were largely happy and satisfied with the service provided by Axe Valley. There were some comments about improved communication with the office being desirable, but systems were already being reviewed and new efforts planned to improve this.

People told us the staff who came to their home were respectful, considerate and compassionate. Staff acted to support people to be in control of their care and stay in their homes if that was their desired goal. In life and at end of life people were enabled to live their life within their community. Extra effort was made to ensure people were safe and protected from risks as much as possible. Needs in respect of people’s medicines, food and fluid were all safely and effectively met.

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.

The service was active in supporting people to be less isolated in their community and to enable people living with dementia to live as full a life as possible.

Staff listened to people’s concerns and fed their views to the office staff to ensure these could be addressed. There was regular contact with staff, people and relatives to encourage open and honest communication.

Rating at last inspection

The last rating for this service was Good (published 24 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Axe Valley Home Care Limited on our website at

We have identified a breach in relation to how the service safeguarded people at this inspection. This means the rating for this service has changed to Requires improvement.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 18 March 2020

The service was not always safe.

Details are in our safe findings below.



Updated 18 March 2020

The service was effective.

Details are in our effective findings below.



Updated 18 March 2020

The service was caring.

Details are in our caring findings below.



Updated 18 March 2020

The service was responsive.

Details are in our responsive findings below


Requires improvement

Updated 18 March 2020

The service was not always well-led.

Details are in our well-Led findings below.