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This service was previously registered at a different address - see old profile

Inspection Summary

Overall summary & rating


Updated 6 February 2020

About the service

Lettershanner is a small domiciliary care agency, who were providing support to three people at the time of inspection. Two of the people being supported, received support with personal care. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People were protected from abuse by staff who had received appropriate training and had the confidence to report. Risks to people’s safety had been assessed and measures were in place to mitigate the risk of harm. Staff were recruited following an assessment of their character, qualifications and experience.

Staff were trained to administer people’s medicine safely and protect people from infection, by using safe infection control procedures. The provider shared lessons learnt from other organisations with the staff team.

People’s needs were assessed, and outcomes were agreed as part of the care planning process. Staff received training relevant to their role and could request further training in supervision. Staff supported people to maintain a balanced diet and access healthcare services when necessary. The provider engaged with other agencies when the need arose.

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.

People were well treated by the staff team. People were supported to make their own decisions and had access to advocacy services. People’s privacy and dignity was respected.

People’s care plans were personalised to reflect their individual needs and interests. Accessible information was available to people and alternative formats had been created. A complaints procedure was in place and people knew how to access it.

The service was not currently supporting people with end of life care.

People were complimentary of the organisation and staff felt well supported. The provider understood their duty of candour and the regulatory requirements of their role. The provider carried out regular audits and spot checks as well as, requesting feedback on the care received. They also kept themselves updated with changes within the care sector and shared any relevant information.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 10 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 6 February 2020

The service was safe.

Details are in our safe findings below.



Updated 6 February 2020

The service was effective.

Details are in our effective findings below.



Updated 6 February 2020

The service was caring.

Details are in our caring findings below.



Updated 6 February 2020

The service was responsive.

Details are in our responsive findings below.



Updated 6 February 2020

The service was well-led.

Details are in our well-Led findings below.