Riseup Healthcare Ltd

Date of assessment: 30 September to 12 October 2026. Riseup Healthcare Ltd is a domiciliary care agency providing personal care to adults of all ages who may be living with dementia, a sensory impairment, a physical disability, a learning disability or an autistic person in their own homes. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks relating to, for example, personal hygiene, eating, and drinking. Where they do, we also consider any wider social care provided.

At the time of our assessment, 68 people were receiving the regulated activity of personal care. 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.

The last comprehensive assessment of the service was in June 2026 where it was rated requires improvement. It was rated requires improvement in safe and well led, and good in effective, caring and responsive. At that assessment, we found the service to be in breach of 2 legal regulations relating to safe care and treatment, and good governance. We took enforcement action which required the provider to be compliant by 18 September 2026. This was a focused assessment on the key questions of Safe and Well-led. We found that the service had made significant improvements and was no longer in breach of legal regulations relating to safe care and treatment, and good governance.

We continued to find people received good quality care from staff who were dedicated, thoughtful, and committed to delivering person-centred care. People continued to speak highly of the staff that supported them and the service itself.

The provider had taken assertive and robust action to make improvements following the assessment in June 2026. For example, they had employed the skills of a consultant to help guide them and taken on extra staff to support with records and governance, the area in which significant shortfalls were previously identified. This had resulted in a comprehensive governance system being introduced that helped mitigate the risk of non-compliance with regulations and the subsequent impact this may have on those people using the service. This had also ensured risks to people had been identified, mitigated, managed, and reviewed, helping to protect them from the risk of harm. Whilst the governance system required further embedding, it had identified actions required and helped the provider make improvements resulting in compliance.

Date of assessment: 01 to 15 June 2026. Riseup Healthcare Ltd is a domiciliary care agency providing personal care to adults of all ages wo may be living with dementia, a sensory impairment, a physical disability or a learning disability. We undertook this comprehensive assessment in response to concerns relating to risk management. We last assessed this service in July 2025 where it was rated good. At this assessment, the rating has changed to requires improvement and we found 2 breaches to regulations. These related to safe care and treatment and governance. 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.

Whilst we found risk was being managed in practice, associated records were poor and failed to consistently identify, manage, mitigate, and review people’s individual risks. Although we found no harm had occurred to people, it had placed them at potential risk of harm occurring. Furthermore, whilst staff knew people’s needs and provided thoughtful person-centred care, the provider had failed to ensure records reflected this. People’s needs had not been consistently holistically assessed as required by regulations and the provider’s own policies. People told us their needs were reviewed on a regular basis, along with outcomes which were consistently positive for people, however records did not always demonstrate this.

Whilst the governance systems in place had ensured people received consistently good care, they had failed to identify the shortfalls found at this inspection which placed people at risk. People, and staff, told us the management team were kind, supportive, and caring however they did not demonstrate they fully understood their roles and responsibilities in relation to regulations and legislation. We also found the provider had not fully learnt from previous shortfalls so could not be assured a robust learning culture was in place.

However, we found staff to be dedicated, caring, and thoughtful and people spoke highly of those that supported them. They told us staff had the skills and abilities to meet their needs, were on time, comforted them in moments of distress, and supported them to live healthier and more independent lives. We saw that staff were well supported by the provider, and they told us they felt valued, cared for, and listened to. The provider had ensured people received a flexible service that worked hard to meet people’s individual needs and expectations.

In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.

Date of assessment 27 July to 15 August. Riseup Healthcare is a domiciliary care organisation, providing care for people living in their own homes within the local community. The service provides care to older people, those living with dementia, physical disabilities, a mental health condition and sensory impairments and people with a learning disability and/or autistic people. The assessment was prompted following a review of the information we held about this service including concerns raised regarding poor staff working conditions and treatment. At the time of this assessment, the service was providing the regulated activity of personal care to 75 people. The assessment was completed using remote technology and we looked at all 5 key questions with all quality statements being assessed. We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people; this guidance was considered as part of the assessment. We found that Riseup Healthcare was providing a good quality service to the people who use it and was meeting their regulatory responsibilities. Staff mostly told us that they felt they were treated fairly at work and enjoyed their work within the organisation.