- Homecare service
Tattenhall Local Care Limited
Assessment report published 19 October 2026
Contents
Ratings
Our view of the service
Tattenhall Local Care Ltd is a domiciliary care service providing personal care and support to people living in their own homes within Tattenhall and the surrounding rural communities. The provider supports older adults with a range of needs, including physical health conditions, mobility difficulties, dementia and long-term health conditions, enabling people to remain living independently in their own homes with support tailored to their individual needs, preferences and aspirations.
At the time of this assessment, 13 people were receiving a regulated activity of personal care.
The Care Quality Commission (CQC) regulates the personal care and support people may receive. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where people receive personal care, we also consider any wider social care support being provided.
Our view of the service
Our assessment was carried out remotely between 24 September 2026 and 9 October 2026 as part of a Return to Good assessment.
Evidence reviewed showed people were receiving safe, effective, caring, responsive and well-led support from a staff team who knew them well and understood their individual needs.
People received safe care from staff who recognised changes in health and wellbeing and worked effectively with healthcare professionals to reduce the risk of avoidable harm. Safeguarding and incident records demonstrated staff identified concerns promptly and sought advice or intervention from GPs, district nurses, occupational therapists and emergency services when required. There was evidence lessons learnt from incidents were reflected in care planning and risk management arrangements, helping to keep people safe while maintaining their independence.
We found particularly strong evidence of Person-Centred Care and Kindness, Compassion and Dignity. Care plans were highly personalised and reflected a detailed understanding of people as individuals. Records included meaningful information about people's backgrounds, preferences, routines, relationships, hobbies, emotional wellbeing and aspirations, and this information was consistently reflected in the support people received. Staff demonstrated a good understanding of what mattered most to people and used this knowledge to tailor care around individual wishes, strengths and goals. People were actively involved in decisions about their care and were supported to maintain valued routines, relationships, interests and community connections.
There was strong evidence of a caring and compassionate culture throughout the service. Feedback from people, relatives, staff and professionals was consistently positive and reflected the meaningful relationships staff developed with the people they supported. People and those close to them described staff as caring, responsive and flexible and spoke positively about the quality of support they received. The volume of unsolicited compliments and positive feedback demonstrated people felt valued, respected and genuinely cared for.
Records showed staff supported people to achieve meaningful outcomes and continue living fulfilled lives. People were supported to maintain interests, hobbies, social connections, pet ownership and community involvement, including people living with dementia and those with changing health needs. Care was focused on enabling people to continue doing the things important to them rather than simply meeting their care needs.
Feedback from people, relatives, staff and professionals was consistently positive. Relatives described the service as providing reassurance, flexibility and high-quality support. They praised staff for their caring nature, communication and willingness to go above and beyond. A healthcare professional described feeling reassured when people were receiving support from the service and commented staff were proactive, responsive and worked closely with other professionals. Staff described a positive culture, approachable leadership and strong teamwork, and all staff interviewed said they would be happy for a family member or close friend to receive support from the service.
The provider demonstrated effective leadership and governance. Managers had oversight of key aspects of service delivery through audits, electronic monitoring systems, safeguarding reviews, medication audits, training oversight and regular quality reviews. Audits and monitoring processes resulted in action, including further training, increased observations and enhanced monitoring where appropriate. Feedback from both staff and professionals consistently reflected confidence in the registered manager, who was described as approachable, responsive and supportive and who promoted a culture where concerns were listened to, acted upon and used to drive improvement.
People's experience of this service
Feedback from people, relatives, staff and professionals was overwhelmingly positive and described a service that provided personalised, reliable and compassionate support which enabled people to remain living independently within their own homes.
People spoke highly of the quality of support they received and the positive impact this had on their lives. One person, who had received support for several years, described staff as being ‘like my family’, said they were ‘excellent’ and explained, "I can rely on them" and "I couldn't wish for better." They valued not only the practical support they received but the companionship staff provided, saying staff sat and chatted with them, kept them up to date with local news and showed an interest in their hobbies and life experiences. The person explained this helped them stay connected with the world around them and continue attending a weekly art class which staff actively encouraged.
Several people described staff as friends rather than carers. One person said staff were, "All super and interesting friends" and explained they looked forward to their visits, while another said, "They are nice to chat to" and "I love the company." Relatives referred to the strong relationships staff developed with people. One relative said staff were, "Making a big difference" to their family member and they, "Enjoyed their company."
People and relatives consistently told us staff understood their needs well and delivered care in a way that promoted dignity and independence. One relative described the quality of care as ‘excellent, first class’ and said staff knew their family member extremely well and understood their individual needs. Another relative said staff encouraged independence, explaining ‘they do encourage independence’ and ‘they always do ask first’. People told us staff supported them to remain involved in decisions about their care and respected their preferences and routines.
Relatives described staff as observant and proactive when changes in people's health and wellbeing occurred. They gave examples of staff recognising when a person was becoming unwell, responding quickly to emerging concerns and seeking appropriate medical support when needed. Families told us this gave them confidence changes in people's health would be recognised promptly and acted upon appropriately. One relative said, "I am very confident my relative is safe."
People and relatives valued the flexibility of the service and its responsiveness to changing needs. Relatives described how support had increased following falls, illness and changing circumstances. One relative said staff ‘managed to come in for an extra day’ when support was needed and explained when their family member was unwell, ‘they did give extra time’. Another relative said visit times had increased as their family member's needs changed, helping them remain comfortable and supported at home.
Family members repeatedly described the reassurance the service provided. One relative said, "I couldn't do this without them," while another described the service as, "A great asset to the local area" and said, "They are like family. It gives me a wonderful peace of mind." Relatives valued the communication they received and said they were kept informed about any concerns or changes in their family member's wellbeing.
Staff consistently described delivering care that reflected people's individual preferences, choices and routines. One staff member explained support was always based on ‘how that person wants things done’, while another said, "I wouldn't just give them something, I would always give them the option and choice." Staff spoke positively about promoting independence, supporting people to remain involved in decisions and tailoring care around people's wishes. Staff described a caring culture where people were treated with kindness and respect. One staff member said, "We treat clients as they are our own parents. We go above and beyond, no matter how big or small," while another stated they would ‘not hesitate’ to recommend the service to a family member because of the quality of care being delivered. All staff spoken with said they would be happy for a friend or relative to receive support from the service.
A professional who had worked with the service for many years said they felt ‘very reassured’ when people were receiving support from Tattenhall and described staff as ‘really on it as soon as a need is identified’. They reported staff communicated effectively, made prompt referrals and worked collaboratively with professionals through joint visits to achieve the best outcomes for people. The professional explained staff were, ‘there for the person and promote independence, try and find the best solution’ and said the provider regularly ‘goes over and above’. They spoke positively about the registered manager, describing them as someone who genuinely cared about people and their families.