- Homecare service
Miles Ahead Care
Assessment report published 10 June 2026
Contents
Ratings
Our view of the service
Date of assessment: 10 April to 7 May 2026. Miles Ahead Care is a care at home service providing personal care support to adults. At the time of our inspection, 13 people were receiving the regulated activity of personal care.
Overall, the service was rated Good. The service demonstrated a consistent approach to delivering safe, effective and person‑centred care. The service had systems to identify and manage risks, including oversight of incidents, medicines and infection prevention and control. Staff were recruited safely, supported through training and supervision, and worked with people and professionals to ensure care remained appropriate when needs changed. Risk assessments were thorough and regularly reviewed by the care supervisor, supporting positive outcomes for people’s health and wellbeing.
People experienced care that was kind, respectful and responsive to their individual needs. Staff built positive relationships, communicated in ways people could understand and supported independence, choice and control. The service was well led, with leaders providing clear oversight and promoting an open culture where staff felt supported to raise concerns and contribute to improvement. Governance systems supported monitoring and learning, and where issues were identified, action was taken to strengthen practice and support continuous improvement.
People's experience of this service
We spoke with 2 people who used the service and 1 relative about their experience of care provided. Care was described as safe, reliable, and person-centred, with staff who were kind, respectful, and competent. People and relatives felt confident in staff abilities, noting good training, thorough care practices, and strong attention to cleanliness, dignity, and individual needs. Positive relationships have been developed, with consistent carers who know individuals well and adapt to their preferences.
Staff consistently described clear systems and supportive processes that enabled them to deliver safe and effective care. They reported completing safeguarding and medication training, understood how to escalate concerns, and felt confident using electronic systems to record incidents, risks and care delivery. Staff felt the induction, supervision and ongoing support was well structured and helped prepare them for their roles. Care plans were actively used by staff to guide person‑centred care, promote choice, support independence and respond to changes in need. Staff described having sufficient time to deliver care respectfully, maintaining people’s dignity, privacy and individual preferences. The management team was described as approachable and supportive, with strong teamwork, clear communication and a positive working culture.
Care delivery was dependable, with no missed visits and only occasional lateness (often due to external factors such as transport), which was communicated appropriately. Staff demonstrate proactive behaviour, such as identifying medication issues or health concerns early. Communication between the service, families, and people was strong, with regular contact from the office and a willingness to listen and respond. Management team presence was evident and accessible for people and the staff. We spoke with 1 professional who was unable to comment on direct practices with people however, they had not reported any issues and there were no safeguarding or restrictions in place.