Peartreelifecare Limited

Updated 16 March 2026

Date of assessment: 18 March to 1 April 2026. The service is a domiciliary care service providing personal care support to people living in their own homes. At the time of this assessment, 54 people were being supported with 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. We found the provider did not always uphold these principles.
People told us they generally felt safe and supported by staff who knew them well, and we observed positive, respectful interactions. Staff demonstrated good knowledge of safeguarding and risk management, and appropriate systems were in place for infection prevention, medicines management and clinical oversight, including specialist training for complex needs. However, some systems required improvement, including the recording of safeguarding outcomes, environmental risk assessments and aspects of medicines administration.
Care was mostly effective and person-centred, with evidence of multi disciplinary working and people being supported to access healthcare. Staff understood people’s communication needs and consent was consistently sought. We received mixed feedback about how consistently people and relatives were involved in care planning and reviews, and records did not always reflect people’s aspirations or longer term planning. People described caring and compassionate staff who treated them with dignity and supported independence, although feedback highlighted inconsistencies in continuity of staff, communication about rota changes and responsiveness to feedback. Leaders were visible and approachable, and staff spoke positively about support and wellbeing. Governance systems were in place and leaders were responsive during the assessment, updating action plans and strengthening audit processes; however, oversight had not identified all the issues found during this inspection.
We found breaches of legal regulations in relation to good governance. We have asked the provider for an action plan in response to the concerns found during this assessment.

Updated 16 March 2026

People told us care staff were caring and supportive. One relative said staff recognised changes in their family member’s wellbeing and checked in with them, explaining that “carers check with me if [relative] is feeling a bit down”. Another relative described staff being observant and proactive when health concerns arose, telling us “They advised me to contact 111… thankfully I listened.” During visits, we observed positive interactions, with staff treating people with dignity, using preferred pronouns and supporting people to make choices about their daily routines.
People valued being supported by staff who knew them well. One person said care staff were, “Generally understanding and respectful of my needs and preferences, “and relatives described good use of shadowing when new staff started, which helped continuity of care.

However, people and relatives raised concerns about inconsistency. Several described frustrations with staff turnover and changes to rotas. One person told us having a team affected by turnover was, “Frustrating”, while a relative said they were, “Sometimes not informed if carers are going to be late or if the rota changes”. Others raised concerns about staff training and knowledge, including medicines. One relative said, “Carers themselves are very good, they just lack information and education”.

People knew how to raise concerns and felt able to contact the service, although some described communication as inconsistent. One relative said management usually responded by email but was, “Sometimes not available on the phone,” while another felt their concerns about changes of care staff had been, “Dismissive.”