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Millies Care and Support Agency Limited

Overall: Requires improvement read more about inspection ratings

1-2 Fairfield Road, Fairfield Park, Bath, Avon, BA1 6EP (01225) 320840

Provided and run by:
Millies Care and Support Agency Limited

Latest inspection summary

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Our current view of the service

Requires improvement

Updated 9 January 2026

Date of assessment: 19 January 2026. Millie's Care and Support Agency Limited is a domiciliary care agency and is registered to provide personal care to people living in their own homes in Bath and the surrounding areas. On the day of our inspection, 46 people were receiving a regulated activity.

This inspection was carried out in response to concerns received relating to risk management and an age rated service.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

During our inspection, we found that the provider did not always share potential safeguarding concerns with the appropriate statutory bodies as required. Incidents were not always fully investigated in line with their own policies, and learning was not consistently embedded within the team.

 

The provider did not always do all that was reasonable to mitigate risks to the health, safety and welfare of people. Risk assessments were not always in place and, where they were, they did not consistently contain sufficient information to support staff in managing risks effectively.

 

Leaders demonstrated compassion and inclusivity. However, they were not always effective in their roles, and we identified shortfalls in the overall oversight of the service. Governance concerns were evident, and the systems and processes in place did not consistently ensure that the service was operating effectively.

 

Effective processes were in place outlining what staff should do in an emergency. Information about the service’s values, vision and mission was included in key documents provided to both staff and people using the service. The registered managers were open and transparent throughout the assessment and demonstrated awareness of the challenges faced by the service.

 

Staff reported feeling well supported by the leadership team and stated they enjoyed working at the service. They felt confident to speak up and have their views heard, and there were workforce equality, diversity and inclusion initiatives to support a positive working culture.

At this inspection, we found the provider to be in breach of regulation in relation to Safe Care and Treatment, Safeguarding people from Abuse and Improper Treatment and Governance.

We have requested that the provider submit an action plan outlining how they intend to address the concerns identified during this assessment.

People's experience of the service

Updated 9 January 2026

People who use the service and their relatives told us that the care provided was mostly positive. Comments included “I feel supported, respected and comfortable with my carers”, and “Staff are kind, professional and attentive”. Further comments from people included “Staff go above and beyond” and “My regular carers show genuine compassion in their day to day interactions with me”. However, some people raised concerns about aspects of the service that did not always meet their expectations. Comments included “Carers do not consistently arrive on time” and “I cannot plan my days effectively” . People told us the impact of this caused anxiety for some people who relied on timely support. Communication between the office and people using the service was described as “inconsistent”. Some relatives and people told us they were not always informed when care staff were running late or when changes occurred. People reported that frequent changes in carers affected continuity of care, making it difficult to ensure consistency and understanding of individual needs and preferences. In addition, several people told us that written information about what tasks had been completed was limited. This made it difficult for families to monitor daily care or identify when support needs changed. Despite this, most people told us they would stay with the service because of the caring nature of staff.