Agathah Limited

Date of Assessment:19 May 2026. The service is a care at home service providing personal care to people living in their own homes. At the time of our assessment there were 3 people receiving personal care. At our last assessment we identified 5 breaches in relation to safe care and treatment, staffing, recruitment, safeguarding and governance. The provider submitted an action plan stating how they would improve. We carried out this assessment to check on improvements made and to ensure compliance with regulations. At this inspection we looked at the key questions of safe and well led and we found the provider had made improvements, however systems and processes require further embedding in to practice to show their effectiveness. This service has been in Special Measures since 24 March 2026.The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

An accident and incident audit was in place and although brief, gave a total number of accidents and documented some learning. The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored.We identified improvements had been made to the safeguarding policy and there was now a safeguarding lead for staff to contact. However, systems and processes needed to be developed and sustained. We found some care plans gave conflicting information which could be confusing for staff to follow. Not all health conditions had a respective care plan to guide staff on delivering safe care. Assessments were carried out to ensure the care environment was safe. We saw improvements had been made to the recruitment process. Most staff had completed appropriate training, but some training was still to be completed. This was scheduled for early June 2026. The registered manager had identified the need for more staff to ensure care could be delivered effectively and constantly allowing the registered manager time to focus on the governance of the service. The provider had taken action since our last inspection to develop systems and processes to improve the governance framework. These now require embedding in to practice to ensure consistency.

Date of Assessment:16 February to 23 February 2026. The service is a care at home service providing personal care to people living in their own homes.At the time of our assessment there were 2 people receiving personal care.At our last assessment weidentified5breaches in relation to safe care and treatment, person-centred care, staffing, recruitment,safeguardingand governance. The providersubmittedan action planstatinghow they would improve. We carried out this assessment to check on improvements madeand to ensure compliance with regulations.

During thisassessment, we foundminimal action had been taken and the provider continued to be in breach of regulationsin relation to safe care and treatment, safeguarding, governance,staffingand recruitment. The provider had failed toactina timelyway to ensure their service made the necessary improvements to ensure safe care.They had notcomplied withtheir action plan.

The provider had a quality assurance framework, however; this was not implemented to show lessons were learnt to improve the service. Staff had not been recruited safely. Staff had not completed alltheappropriate training, nor had they had their competency assessed in key areas. Risks associated with people’s care had beenidentifiedbut were not always managed to keep people safe. Weattemptedto contact staff about the training and support they received but were provided withminimalresponses. The provider could not alwaysdemonstratepeople received their medicines as prescribed.

Monitoring and governance arrangements at the service were ineffective and limited. Systems in place toidentifyimprovementsrequiredwere not robust and were not used to drive improvements.

The provider had taken some action since the last assessment to improve care plans and supporting documentation.People’s care plans weremore reflective of people’spersonal preferencesand choices.

During the assessment weidentified5continuedbreaches of legal regulation in relation to safe care and treatment, safeguarding, staffing,recruitmentand good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

In instances where CQC has 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 inspecial measures. The purpose ofspecial measuresis to ensure that services providing inadequate care make significant improvements.Special measuresprovide a framework within which we use our enforcement powers in response to inadequate care and provide atime-framewithin which providers must improve the quality of the care they provide.

Date of Assessment: 4 August to 29 August 2025. The service is a care at home service providing personal care to people living in their own homes. This was the first assessment of this newly registered service. We looked at all quality statements in safe, effective, responsive and well led to provide a rating. At the time of our assessment there were 2 people receiving personal care.

During this inspection, we found areas of concern. The provider had a quality assurance framework, however; this was not implemented to show lessons were learnt to improve the service. Staff had not been recruited safely. Staff had not completed all appropriate training, nor had they had their competency assessed in key areas. Risks associated with people’s care had sometimes been identified but were not always managed to keep people safe. The provider could not always demonstrate people received their medicines as prescribed.

There was no evidence to show people had been involved in devising their care plans or included in reviews of their care and support needs. However, relatives told us they felt involved in their family member’s care. People’s care plans were not person centred and did not always include people’s preferences and choices

Monitoring and governance arrangements at the service were ineffective and limited. Systems in place to identify improvements required were not robust and were not used to drive improvements.

During the assessment we identified 6 breaches of legal regulation in relation to safe care and treatment, person centred care, safeguarding, staffing, recruitment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

In instances where CQC has 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.