- Homecare service
Alex C&C Healthcare Ltd
Assessment report published 7 October 2025
Contents
On this page
- Overview
- Assessing needs
- Delivering evidence-based care and treatment
- How staff, teams and services work together
- Supporting people to live healthier lives
- Monitoring and improving outcomes
- Consent to care and treatment
Effective
Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.
This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and feedback confirmed this.
This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
The registered manager did not always make sure people’s care and support plans were accurate and up to date although they were responsive to providing care to people when their needs changed. For example, information with 2 people’s care plans was not always up to date with their individual health needs and information. We raised this with the registered manager who updated these care and support plans. Although following updating these care and support plans we found some improvements were still needed to their accuracy. We raised this with the registered manager so they could review the accuracy of these care and support plans.
The registered manager provided care and support to people flexibly when their needs changed. All families were happy with the care and support provided by the service.
Delivering evidence-based care and treatment
The registered manager and staff made sure they provided people with care and support that was individual to their them and their health and communication needs. Care plans contained if the person had any nutritional needs and any associated medical conditions that might affect their diet. The feedback provided by families was good as they felt people got good care and support.
How staff, teams and services work together
The registered manager worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. People’s care plans were developed to include how the person wanted their care to be provided, and the registered manager made referrals to health and social care professionals when required. Professionals provided positive feedback about how the registered manager liaised with them. They felt they kept them up to date with any changes to the person’s care needs and any concerns they had.
Supporting people to live healthier lives
People were supported to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives where possible and reduce their future needs for care and support. The registered manager made referrals to health and social care professionals if needed. They confirmed they worked closely with the district nursing team. Staff gave examples of how they supported people to make choices including what meals they would like and how they would like their personal care provided. The registered manager gave examples of where they had purchased specialist equipment for people so they could have their hair washed when unable to get into a shower or bath. They also gave an example of providing people with oral hygiene through support of specialist equipment from the district nursing team.
Monitoring and improving outcomes
The registered manager routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People had regular reviews of their care plans. These were undertaken by the registered manager as and when needed and any changes to people’s care needs were raised with commissioners if needed.
Consent to care and treatment
The registered manager told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff gained consent from people before they supported them with their individual needs. Relatives felt the care and support provided by staff was good and they had nothing but praise for the care provided. One relative told us, “Would recommend them, nothing but praise.”