You are here

This service was previously registered at a different address - see old profile

Inspection Summary

Overall summary & rating


Updated 16 January 2019

The inspection took place on 7 and 13 December 2018 and was announced.

Altogether Care is a domiciliary care agency. It provides personal care to people living in their own houses in the community. The service supports older adults, some of whom are living with dementia. At the time of our inspection visit, 37 people were using the service.

The provider is registered as an individual and therefore is not required by law to have a separate registered manager. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection, we found the provider had failed to notify us of a number of safeguarding issues involving people who used the service. Registered providers must, in accordance with their registration with the Care Quality Commission (CQC), notify us about certain changes, events and incidents, including safeguarding issues, that affect their service or the people who use it. This was a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. At this inspection, we found the provider was now meeting the requirements of Regulation 18. They had taken steps to ensure all required statutory notifications were submitted to CQC within the expected timescales.

People felt safe receiving care and support in their homes from staff employed by Altogether Care. Staff had been trained in, and understood, their responsibility to protect people from and report abuse. The provider had safeguarding procedures in place to ensure the appropriate external agencies were informed of any abuse concerns. The specific risks associated with people’s care and support had been assessed, kept under review and plans developed to manage these. Staff confirmed they read people’s risk assessments and were kept up to date with any changes in risks to people and themselves.

People generally received a punctual and reliable service from Altogether Care, provided by familiar staff. The provider completed checks on prospective staff to confirm they were suitable to support people in their homes. The provider had systems and procedures in place to ensure people received their medicines safely and as prescribed. The provider had taken steps to protect people, their relatives and staff from the risk of infections, including the use of appropriate personal protective equipment by staff.

People’s individual needs were assessed before their care started to ensure the provider could meet these effectively. Staff received training to prevent people from experiencing any form of discrimination during the planning or delivery of their care. Staff and management worked effectively with a range of external health and social care professionals to promote people’s health and wellbeing. New staff completed the provider’s induction training to help them settle into their new roles. They then participated in a rolling programme of training to ensure they had the skills and knowledge needed to work safely and effectively. People had the support they needed to prepare meals and drinks, and any associated risks were managed. Staff helped people to seek professional medical advice and treatment if they were unwell. Staff and management understood and promoted people’s rights under the Mental Capacity Act 2005.

Staff treated people with kindness and compassion. People and their relatives were encouraged to express their views about the service provided and participate in decision-making that affected them. People’s individual communication needs were assessed and addressed to promote effective communication and support them in voicing their opinions. Staff promoted people’s rights to privacy and dignity, as part of which they protected their personal information.

People’s care reflected their individual needs and preferences. Staff followed people’s personalised care plans, which included information about their kno

Inspection areas



Updated 16 January 2019

The service was safe.

People were supported by staff who understood how to recognise and report abuse.

The specific risks associated with people's care were assessed, managed and kept under review.

The provider carried out checks on prospective staff to ensure they were suitable to support people in their homes.



Updated 16 January 2019

The service was effective.

People received care and support from staff who were appropriately inducted and trained.

People had the support they needed to prepare meals and drinks on a day-to-day basis.

Staff helped people to access healthcare services if they were unwell.



Updated 16 January 2019

The service was caring.

Staff approached their work with kindness and compassion.

People were supported to have their say about the care and support provided.

Staff protected people's rights to privacy and dignity.



Updated 16 January 2019

The service was responsive.

People's care and support was shaped around their individual needs and requirements.

Personalised care plans had been developed for people, which staff understood the need to follow.

People and their relatives were clear how to raise any concerns or complaints with the provider.



Updated 16 January 2019

The service was well-led.

People, their relatives, staff and community professionals described a positive and inclusive culture within the service.

Staff felt well-supported and valued in their work.

The provider carried out quality assurance activities to assess and improve the quality of people's care.