Q Leaf Care Limited

Updated 23 July 2025

We completed an inspection between 28 July 2025 and 05 August 2025. Q-Leaf Care Limited is a domiciliary care service providing the regulated activity of personal care to people in their own homes. Not all people received personal care at the time of the inspection. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. At the last inspection, the provider was not aware of the RSRCRC guidance. At this inspection the provider had not taken steps to address this and implement the guidance as it was not in place and the registered manager was not aware of the RSRCRC guidance. Whilst the registered manager was unaware of the guidance, they were able to demonstrate how they were supporting people to have to be independent and in control of their care and support as much as possible.

The provider identified issues regarding the culture within the staff team, this included staff not always reporting incidents formally to the senior leaders. The registered manager was aware of this and taking action to support staff. The registered manager supported staff with supervisions and 1-1 meetings to give opportunities for staff to share concerns.

People’s health risks were well managed, and staff completed training relevant to their role. People’s needs were fully assessed prior to their care and support being delivered. The provider worked well with other partners and health professionals to ensure people received joined up and coordinated care. The provider had governance processes in place to assess the service and make improvements where necessary.

The provider was previously in breach of the legal regulation in relation to safe care and treatment, good governance and fit and proper persons employed. At this inspection, improvements were found in relation to fit and proper persons and the provider was no longer in breach of this legal regulation. However, not enough improvements had been made at this inspection in relation to safe care and treatment and good governance. Therefore, the provider remains in breach of the legal regulation in relation to safe care and treatment and good governance.

Updated 23 July 2025

People were not always kept safe from the risk of harm or abuse as staff did not always report incidents and accidents. We could not be assured that all staff fully understood how to report and recognise abuse. However, people we spoke with told us they felt safe, for example, ‘I have no safeguarding concerns, I absolutely feel safe’ and ‘We both feel really safe with the staff’. We also spoke with a number of staff who could demonstrate they did understand their duty to report incidents.

People and those important to them were involved in planning their care, one person told us ‘I have a care plan here and we speak about any updates that are needed’

People told us the communication was good from staff and the registered manager. People told us they were given surveys to feedback on how satisfied they were with the care provided.

A relative told us, ‘I feel confident to raise concerns if I need to, the staff are fantastic.’ One person also told us, ‘They [staff] know me well, we have a chat and they treat me with respect.’