- Homecare service
Agincare Enable Limited (Wiltshire and Swindon)
Report from 21 May 2025 assessment
Contents
Ratings
Our view of the service
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.
People's experience of this service
We spoke with 19 people receiving personal care support and 6 relatives.
People told us they felt safe in their home and liked the staff that supported them. Positive feedback included “I love living here”, “Staff are great” and “Staff support me with my relationships”.
People said there were enough staff available to support them to attend activities and events they wanted to go to. People especially liked the summer fete where anyone was welcome as well as short breaks away to holiday parks.
People said, “I get to go out where I want to and staff support me as much or as little as I need” and “I am going away on a trip soon and staff are actually teaching me to speak French.” People knew who they could talk to if they were not happy about their support and were confident any problems would be resolved. There were easy read documents on how to speak up which helped people understand what to do to ensure they were listened to. People were proud of their homes and wanted to show us around including how they had personalised their spaces. People said their relatives and friends could visit them at any time.
Relatives told us people were given good support when they moved into the service and were involved in all decisions about their care. Comments from relatives included people’s move into the service as ‘brilliant’ and how the fetes were organised for family to attend. There were also opportunities to meet the care team.
Relatives also said people were supported to be as independent as possible and to develop skills, for example in relation to meal planning, preparation and managing their personal care.
Relatives said staff had the right skills to meet needs and treated people with “respect and kindness”. One relative told us “Staff always put my [family member] first”.
Another relative was impressed by how the provider had worked tirelessly to support their family member to have a mobility vehicle.
All relatives said since the provider had taken over the service, they had been “brilliant” at converting the services from residential to supported living.
One relative however raised a concern that when their son moved in, the provider did not offer a welcome pack to them. The provider had told us they were aware of this and were looking at their referral process.