Ralle Health Limited

Updated 22 April 2026

Date of Assessment: 7 May 2026 to 13 May 2026. The service is a care at home service providing support to older people/younger adults/ living with dementia, nursing needs, mental health conditions, and physical disabilities. We completed this assessment remotely, which means we did not physically visit the office location.

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.

People, relatives and staff spoke positively about the culture, leadership and quality of support. People told us staff were kind, reliable and highly consistent, which helped people feel safe and reassured. Feedback described care as person centred, with staff knowing people well, maintaining dignity and supporting independence. Professionals also reported positive working relationships, stating staff communicated well and responded promptly to concerns.

Care plans were written in a person-centred way and reflected people’s preferences, routines and life histories. Risks were identified, particularly in relation to the environment and medicines, and there was evidence that care was delivered in line with care plans.

Staff told us they felt well supported and described a positive, hands-on management approach. Training was up to date, planned in advance and included a mix of online and face-to-face learning. Systems for staffing, rotas and continuity planning were in place and generally effective. However, recruitment records showed gaps in safer recruitment practice. Also, a safeguarding incident had not been notified to CQC as required, and incident records lacked sufficient detail to demonstrate learning. This was addressed at the time of our inspection.

Overall, the service demonstrated a caring culture, strong relationships and consistent care delivery. Leadership was visible and supportive, but improvements were needed to strengthen governance, safeguarding oversight and recruitment compliance. The provider has since updated us and has taken action to ensure these areas are now addressed.

Updated 22 April 2026

People using the service and their relatives consistently described a very positive experience of care. People told us they felt safe, well supported and reassured by the consistency of staff visiting them in their own homes. Relatives spoke highly of the quality of care and the impact this had on their peace of mind, particularly where people were living with dementia or required ongoing support.

People and relatives said staff were kind, friendly and knew people well. One relative told us, “The care staff are second to none, consistent, and [family member] is very well looked after”. Another said, “They [staff] are just fantastic, so consistent, [Person] knows who’s coming so they feel safe”. Feedback highlighted that staff supported people in a respectful and personcentred way, taking time to talk with them and ensuring they were comfortable during visits.

Care plans we reviewed reflected people’s individual routines, preferences and life histories, often written in the first person to show how people wanted their care delivered. People’s independence was promoted where possible, and staff supported people to remain living in their own homes with dignity.

Daily notes reflected positive interactions between staff and people, such as chatting, humour and companionship, which supported emotional wellbeing.

Overall, the care culture described by people, relatives and professionals was warm and trusting. Relationships between staff and people were well established, and external professionals reported good communication and responsiveness. This contributed to people having a positive, reassuring experience of care from a small and consistent staff team.