Updated 9 November 2025
Date of assessment: 6th November to 11th November 2025. The service provides care to people in their own homes. At the time of the assessment there were 35 people receiving a regulated activity of personal care. This assessment was carried out to follow up on action we told the provider to take at the last assessment, in relation to safeguarding people from abuse and the governance of the service. We assessed 5 quality statements in the key questions of safe and well led.
The service now had a clear process in place to ensure people were safeguarded from abuse. This involved recording concerns on an online system, reporting to the local authority safeguarding team, and submitting notifications to the Care Quality Commission. Staff told us they felt leaders responded effectively to safeguarding concerns. Additionally, people now had clear information within their care and support plans for staff to safely manage any risks.
There was now a good learning culture at the service and leaders had implemented effective governance systems to ensure the required improvements were made. This included regular audits, spot checks for staff, a new system to manage overarching audits, and the new employment of a quality assurance manager. The management of people’s medicines had improved. Staff told us, “There have been a lot of changes recently and I feel these have been positive.”
Enough improvement had been made, and the service was no longer in breach of the legal regulations.