- Homecare service
All4One Care Services Ltd
Assessment report published 16 September 2025
Contents
Ratings
Our view of the service
Date of Assessment: 09 to 24 July 2025. This was a supported living service providing support for 3 people, only one of whom received the regulated activity of personal care.
The service supported autistic people and people with a learning disability. We 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.
Staff had received a good induction and ongoing training to ensure they could meet peoples identified needs, in a person-centred way.
The provider had an open culture and were focused on driving quality and improving people’s experience of care. The registered manager undertook a variety of spot checks on care provided, in additional to safety audits to ensure that people were supported safely and with compassion.
Staff signed a dignity contract which made clear the values and behaviours expected of them. Care records demonstrated that staff spoke to people and supported people in a dignified andcaring manner.
The registered managers and management support team worked closely with people, their loved ones and external professionals to adapt people’s environments and identify opportunities for people to enhance their quality of life.
The provider had effective governance systems and processes in place to ensure the registered manager was able to effectively audit the service and drive improvement in service delivery.
They had invested in an electronic care records system which was easy to navigate and update in real time. This prevented information being out of date and allowed managers to get daily snap shots of how people were being supported.
People’s care plans and risk assessments were reviewed and updated at frequent times, but also as a person’s needs changed. Changes were communicated to care staff who supported them and to a person’s loved ones.
There was room for improvement in areas such as planning for the future. Interim steps to explore and improve access to different opportunities and experiences, whilst waiting for responses from referrals made to external professionals, could be strengthened to improve people’s quality of life. The registered manager provided assurance that they were already looking into improving how people were supported when waiting for others to undertake assessments. We also signposted them to nationally recognised best practice.
People's experience of this service
Where an autistic person or person with a learning disability is using the service, we use the quality-of-life assessment tool to evidence the quality of care provided. Only one person was in receipt of the regulated activity of personal care, and they were supported by regular care staff who understood their needs very well.
Staff were observed speaking and supporting the person in a caring and inclusive way, quickly elevating any distress the person was experiencing. Staff language used to document the care provided and people’s experience was respectful, and it was clear the person had developed meaningful relationships with the staff supporting them.
People and their loved ones told us the service was very good. The provider ensured that people were enabled to keep in regular contact with loved ones regularly, either in person or by phone and video. Care staff recognised the importance of maintaining people’s connections and sent regular updates, photos and videos of people to keep their loved ones up to date with people’s activities.
The person’s environment had been appropriately adapted to meet their physical needs. However, there could have been more innovation to make the environment more tactile and homely, in line with the person’s sensory needs. There was limited access to activities outside the service, which often meant the person did not leave their home for long periods. The registered manager was in contact with external professionals to identify how the person’s opportunities to engage in the local community could be expanded.