- Homecare service
Efficiency Health and Homecare Services - Malmesbury
Assessment report published 9 February 2026
Contents
Ratings
Our view of the service
Date of Assessment: 10 October 2025. The service is a care at home service providing support to 12 adults of all ages and people living with dementia. This assessment was completed due to warning notices being issued by the Care Quality Commission (CQC) at the assessment completed in January 2025. During that assessment the service was found to be in breach of regulations in relation to safe care and treatment, staffing and governance.
During this assessment we looked for evidence that improvements had been made against the areas highlighted in the warning notices issued. We focused on the safe and well led areas of the service.
We found that improvements had not been made since our last assessment. We reviewed 5 staff files, spoke with 4 staff, 5 people and reviewed 5 people’s care records during this assessment.
During the first assessment we found medicines were not being managed safely. People’s care plans did not contain enough details for staff to know how to provide safe care. People’s risks were not being managed safely, and people did not always have risk management plans in place. Not all care plans contained accurate information. Some staff had not received all the training they needed to support people safely. Governance systems were not established and operating effectively to identify the shortfalls found during the assessment.
During this assessment, we found not enough improvement had been made. Quality checks being completed were not identifying the improvement needed for all areas of this service. The provider did not have a clear or robust action plan to enable them to take action to address the shortfalls we raised.
However, staff told us they enjoyed working for the provider and felt supported.
We found the 3 breaches of regulations remained: staffing, safe care and treatment and good governance. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and or appeals have been concluded.
People's experience of this service
We spoke to people and their relatives. The feedback we received was mostly positive. People told us staff were caring and kind. Comments included “Staff go out of their way to support [relative]” and “Staff are brilliant, so kind”. However, some people felt there were areas that could be improved such as regular carers and communication. Comments included “They don’t tell us if they are running late” “It would be good to have some continuity of care, often different carers come” and “My concerns are them not turning up.”