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Agincare Enable Limited (Wiltshire and Swindon)

Overall: Good read more about inspection ratings

Marsh Hall, Furlong Close, Rowde, Devizes, SN10 2TQ 07458 121880

Provided and run by:
Agincare Enable Limited

All Inspections

During an assessment under our new approach

Date of inspection: 11 June to 16 June 2025. The inspection was carried out because the service has not been rated overall since the change in provider. The service is a supported living service providing personal care support to 36 people with learning disabilities and autistic people across 10 houses.

We assessed the service against the ‘Right support, Right care, Right culture’ guidance to make judgements about whether the provider guaranteed and demonstrated that people with a learning disability and autistic people are considered with respect, equality, dignity, choices, independence and access to local communities that most people take for granted.

 

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Consideration was also taken to match people with similar interests when offering housing options.

Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. The provider had recorded how they had made decisions in people’s best interests where they lacked capacity, but some of these records lacked detail.

Leaders and staff were able to demonstrate they were delivering right support, right care, right culture but could not describe how this ethos was embedded into their values. The culture of the service was based on a person-centred approach to meeting people’s needs. This helped to build a holistic method to the care and support of people.

Staff felt supported to give feedback and were treated equally, free from bullying or harassment. They felt confident to speak up and were offered regular team meetings and supervisions. Managers worked with the local community to deliver the best possible care and were receptive to new ideas.

Staff understood their roles and responsibilities and there was a culture of continuous improvement. Staff were given time and resources to try new ideas and to take positive risks.

Risks were well managed, and people were supported to access their local community, go on holiday and for short breaks away.

7 March 2023

During an inspection looking at part of the service

About the service

Agincare Enable Limited (Wiltshire and Swindon) is a supported living service providing personal care for people living in their own homes. At the time of the inspection there were 28 people using the service.

People’s experience of using this service and what we found

People told us they liked the staff that worked with them, we were told they were, “Lovely” and, “Brilliant.”

Staff we spoke with knew people well and understood the expectations of the provider.

People and their relatives told us they felt listened to and involved in peoples’ care. They felt safe and respected.

The registered manager had put quality systems in place to ensure adequate service checks were being done.

Not all staff had received refresher training in line with the provider’s policy, this was something the registered manager was addressing.

The provider was using paperwork from the previous provider and themselves, this could cause some confusion. The provider was working to ensure all paperwork was being updated to reflect the new service.

The provider was moving all recording from paper to electronic systems. This had been delayed due to internet issues so on some occasions records were on both systems.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

People told us they were very happy with the support they received and said there had been improvements since the new provider had started to work with them.

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.

Right Care

People were supported by staff who knew them well. The provider was driving a change of culture which meant people were positively supported with their life choices.

Right Culture

The registered manager and service managers had set a culture of person-centred support and were leading by example. We observed staff engaging in a person-centred way with people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for the service under the previous provider was requires improvement published on 28 July 2022

Why we inspected

This inspection was prompted because we had previous concerns about risks to the service under the old provider. This inspection was planned to ensure people were being supported appropriately by the new provider.

The new provider had taken action to mitigate the risks, this has been effective.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.