First Option Support Ltd

Updated 3 August 2026

We carried out this assessment on 19 August 2026. First Option Support Ltd is a care at home agency that provides personal care to people living in their own homes.

At the time of this assessment 2 people were receiving support with personal care. This was the first assessment since this service registered with CQC.

People received safe care from staff who understood their risks and support needs. Risks relating to areas such as mobility, falls prevention, catheter care, skin integrity and health conditions were assessed and managed. People told us they felt safe using the service. Systems were in place to report incidents, safeguarding concerns and complaints, and lessons learned would be shared to improve practice. Staff received training, supervision and support to ensure they had the skills and knowledge to meet people's needs. There were policies and procedures available to guide safe care delivery.

People's needs were assessed and care was planned in line with their individual circumstances, preferences and health needs. Care plans contained information about people's physical health, nutrition, communication, routines, wellbeing and desired outcomes. The provider worked with healthcare professionals and other agencies where required to support people's health and independence.

People were treated with kindness, dignity and respect. Feedback from people was consistently positive and showed staff listened to them, respected their preferences and involved them in decisions about their care. Care plans reflected what was important to people and promoted choice, control and independence. People were supported in a way that protected their privacy and respected their individuality.

Care was personalised and tailored to people's individual needs and wishes. People were encouraged to remain independent, maintain social connections and access activities that were important to them. The provider sought regular feedback, reviewed people's care and responded appropriately to concerns and changing needs. People knew how to raise concerns and were confident their views would be listened to.

The service was led by an experienced registered manager who promoted a positive, and person-centred culture and worked to deliver an effective service. Governance systems, audits, spot checks and regular feedback helped monitor the quality of the service and drive improvement. The provider worked collaboratively with healthcare professionals, local authorities and community organisations to support and develop the service.

Updated 3 August 2026

People spoke positively about the care and support they received and told us they felt safe, respected and well supported. A person described the service as "Terrific" and said they felt "Totally safe," explaining that staff were attentive, kind, caring and thoughtful. They told us staff explained things clearly, asked for their views and involved them in decisions about their care. The person also said that when they raised a concern, the registered manager responded immediately and resolved the issue to their satisfaction.

People felt staff understood and respected their individual preferences. A person told us they were very particular about how tasks were completed and said staff carefully followed their instructions, listened to what was important to them and carried out support in the way they preferred. They described staff as patient, understanding and willing to go above and beyond to provide support.

People valued the way staff promoted their independence. A person said, "I want to remain as independent as possible and staff understands that. They only come in where I need help." People told us staff took time to listen, regularly checked on their wellbeing and sought feedback about the service, providing opportunities to discuss any concerns or suggestions.

People also told us they felt safe receiving support. A person explained that because of their health condition they worried about falling, but staff were careful when providing personal care and took steps to minimise risks while supporting their independence.

People confirmed they had received information about the service when their care commenced, including details contained within the service user handbook. This included information about how to raise concerns or make a complaint. People told us they knew how to complain and were confident that any concerns would be listened to and acted upon appropriately.

Feedback received demonstrated that people experienced compassionate, person-centred care, felt involved in decisions about their support and had confidence in both the staff and management of the service.