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Persona Domiciliary Support Service

Overall: Good read more about inspection ratings

Grundy Day Centre, Wellington Road, Bury, Lancashire, BL9 9AH (0161) 253 7393

Provided and run by:
Persona Care and Support Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Date of assessment: 14 October to 19 November 2025.

This was a comprehensive assessment completed due to the age of the previous rating which was March 2018.

Persona Domiciliary Support Service is a supported living provider registered to provide personal care to people in their own homes. The people they support include those with a learning disability and autistic people. The provider was supporting 53 people receiving regulated activity at the time of the assessment.

The people supported have their own tenancies and a separate contractual agreement for support. Some people lived alone whilst others lived in settings with their own bedrooms or flats and shared communal areas.

We visited 3 different settings and found variation in how the different services performed. In one of the settings, we found several shortfalls related to an over reliance on agency staff, inconsistent management, oversight of health and safety, medicines and poor care planning.

Leaders were aware of the staffing and management issues related to an over reliance on agency staff and had an action plan in place to address this. Use of agency staff had reduced. However, it was still impacting on the quality of care at one location. In addition, the action plan had not identified all the shortfalls identified during the assessment, and this had impacted on the care provided. The provider took immediate action to resolve the issues raised during the assessment and the leaders were very responsive throughout the assessment.

We have assessed the provider 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.

The provider and staff felt strongly about ensuring people receive good care, had control over their choices, increased independence, and joy in their lives. All staff we spoke to had people at the heart of everything they did.

Right Support:

Persona staff demonstrated a good understanding of the people they supported, confidently describing people’s needs, preferences, and communication styles. People’s communication needs were well understood and respected, and staff interactions promoted choice, independence, and dignity.

People were supported to participate in activities, and staff encouraged engagement based on personal interests. Staff demonstrated a strong drive and enthusiasm to ensure peoples wishes and aspirations were met. Positive risk taking was evident to ensure people lead purposeful and fulfilled lives.

Right care:

People received kind and compassionate care. Staff understood and responded to individual needs. Staff delivered person centred care in a manner that upheld privacy, rights and dignity.

Staff were well-trained and demonstrated a clear understanding of their safeguarding responsibilities. They were confident in identifying and reporting any concerns that could compromise a person’s safety. There was a strong, shared commitment across the team to protect vulnerable people from harm and poor care.

Safe recruitment practices were in place, and staff received appropriate training to ensure they were equipped with the skills and knowledge required to fulfil their roles effectively. A recruitment drive had taken place to reduce the reliance on agency staff. People who received support were also paid members of the interview panel.

Some care plans did not contain relevant information, and where highlighted these were updated. The provider had an existing commitment to review and update all care plans i by the end of December 2025.

Right culture

Staff felt valued and empowered to contribute to service improvement. They worked in an environment where openness and transparency were encouraged, and where speaking up was safe and supported. Leaders fostered a culture of continuous learning, collaboration, and accountability.

Most families and all professionals reported positive engagement with the provider and praised the leader’s commitment to improvement. Governance systems supported a culture of safety, learning, and responsiveness, ensuring the service remained person-centred and resilient. However, auditing systems did not identify some the issues we found during the assessment.

 

15 August 2017

During a routine inspection

This inspection was unannounced and took place on 15 and 16 August 2017. This is a longstanding service, which was previously delivered by Bury Council as Learning Disability Support Team 1 and the Positive Lives Team. These were two of a number of services that opted out of local authority control to create Persona Care and Support Limited a new legal entity. This was the first inspection of this service of Persona Learning Disability Team.

Just before our inspection we were informed that, due to a restructure Persona Learning Disability Team was going to be known as Persona Domiciliary Support Service and the provider formally notified us of this. This was because the registered provider was in the process of developing an older person’s service that would deliver personal care. This report only relates to the learning disability mainly supported living services delivered by the registered provider.

At the time of our inspection, 90 people were using the service to receive care in their own homes. These ranged from 24 hour supported living to a minimal support of a small number of hours per week.

The service had two managers who were registered with CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. 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.

We had been made aware that during the restructuring process a decision had been made to reduce the registered manager for the learning disability team to one. We spent time with the registered manager who was taking the management of the learning disability teams forward.

People told us that they felt safe. Staff had received training in safeguarding adults. They were able to tell us of the action they would take to protect people who used the service from the risk of abuse.

Procedures were in place to help ensure staff were safely recruited to ensure that people were not supported by staff who were unsuitable to work with vulnerable people. Improvements were made to the application form for new staff on the first day of our inspection.

People received reliable, consistent and flexible support from staff who knew them well. We saw sufficient numbers of staff were available to help ensure people’s assessed needs and wishes were met.

Detailed risk management plans were in place to guide staff on the action to take to mitigate the identified risks of the people they support.

Systems were in place to ensure the safe handling of medicines and to reduce the risk of cross infection in the service.

Staff received the training and support from the service to help support people safely and effectively and adhere to the organisations strong value base.

The service was always looking for creative and innovative ways to improve the service and promote people’s health and independence by working with other health and social care professionals and by using new technology where appropriate.

The service worked closely with other healthcare professionals to help ensure that people received the service they needed quickly.

People we spoke with said they were very happy with the support provided.

People who were able told us they could make decisions about their individual support to help improve their confidence and promote their independence.

Where able, people were involved in developing their support plan.

People we spoke with did not raise any complaints or concerns about the service. They told us they would speak to staff or the registered manager. They were confident that any concerns they raised would be listened to and action taken to resolve the issue.

There were systems in place to monitor and review the quality and health and safety of the service. Staff members we spoke with said that both registered managers were very approachable and supportive