Ability Care Solutions Ltd

Updated 2 March 2026

Date of Assessment: 6 March to 7 April 2026.

Ability Care Solutions Ltd is a care at home service providing support to adults living with dementia, physical disabilities or sensory impairments. The service specialised in providing end of life support to people in their own homes. At the time of the assessment the service supported 21 people.

The service was registered with the care quality commission (CQC) on 29 January 2025. This is the first assessment for this newly registered service which was initiated due to concerns we received regarding unsafe staffing levels.

Care plans and risk assessments did not always detail all the required information and risks had not always been assessed. This placed people at risk of harm.

Medicines were not always managed safely. This placed people at risk of not receiving these as prescribed.

There had not always been sufficient staff to provide personalised care and support, and staff had not received all the training they required. For 2 people, care records detailed they required staff support with a clinical task. Not all staff had received training in this task, nor had their competency been assessed by a health care professional. This meant people were at risk of unsafe care by untrained staff.

Governance arrangements were not effective and did not ensure risks were consistently identified or addressed. The registered manager completed checks and audits, but these had not been effective in monitoring quality or driving improvement. The registered manager was responsive to our feedback. Some improvements had been completed before the end of the assessment.

We found breaches of regulations relating to safe care and treatment, staffing and good governance. The provider took some immediate action during the assessment; however, governance systems were not robust enough to provide ongoing assurance. We have asked the provider for an action plan in response to some of the concerns found at this assessment.

People were protected and kept safe from abuse. Staff made sure people understood their care to enable them to give informed consent. People were treated with kindness and compassion. Staff promoted choice, communication and meaningful activity. People and relatives were involved in decisions about their care. People were treated with dignity and respect, and relatives consistently reported that their family members had a good quality of life. Staff worked with all agencies involved in people’s care for the best outcomes. They monitored people’s health to support healthy living. Most staff felt supported and felt they were treated equally.

Updated 2 March 2026

People were not always able to tell us about the care and support they received. Therefore, we obtained feedback from relatives who consistently told us staff were kind, compassionate and their loved ones were treated with dignity and respect. They described carers as “angels” and “saviours”, praising the warm relationships they had developed, and the attentiveness shown during personal care and end of life support. Relatives said staff took time to talk with their loved one, involved them in conversations and decisions, and supported their spiritual preferences.

Most relatives told us they felt their loved ones were safe with staff and appreciated having a familiar core team who understood their loved ones needs well. They valued staff’s careful approach, with one person telling us, “They have [relative’s] best interests at heart.” Relatives noted that carers communicated sensitively while delivering care, with some saying staff went “above and beyond” to maintain comfort and reassurance.

Some relatives told us the service adapted care quickly when needs changed, and office staff were described as approachable and willing to resolve concerns. Some relatives found accessing their loved one’s digital care notes reassuring, whilst others said they felt confident contacting the office when needed.

However, people’s experience of their care visit timing varied. Some people received consistent times, but others described wide variations or late visits that affected routines. They told us, “There is a 3 hour window for each visit… which can be a problem”, “They come in the time slot which can be anytime between 7am to 11.30am” and “They come when they come.” People told us this made planning their day difficult.

Despite this, most relatives and people were happy with the service. They described staff as caring, respectful and committed to supporting them well. Some relatives said they could not have managed without the carers, with 1 relative stating, “I can’t imagine how we would have got on without them.” The overall view was one of deep appreciation for staff who treated people as individuals and worked hard to maintain dignity, comfort and emotional wellbeing.