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Look Ahead Domiciliary Care (Hertfordshire) Good

Inspection Summary

Overall summary & rating


Updated 27 June 2019

About the service: Look Ahead Domiciliary Care (Hertfordshire) is a domiciliary care agency providing care and support to seven people with learning difficulties in a supported living setting.

People’s experience of using this service:

People were happy with the care agency and the staff who provided their care.

People were safe using the agency because staff knew what they were doing, they had been trained and the building they lived in was secure. There were enough staff, and the registered manager (who has since left the service) also visited people regularly. Key recruitment checks were obtained before new staff started work.

People told us they always received their medicines and that staff knew how these should be given. Medicine records were completed accurately and with enough detail. Staff supported people with meals and drinks. Staff took action to reduce the risks of spreading infection. Staff followed advice from health care professionals and made sure they asked people’s consent before caring for them.

People liked the staff that cared for them. People told us that staff were “nice”, and “lovely”. They went on to tell us that staff supported them to live as they wanted. Staff were kind and caring, they involved people in their care and made sure people’s privacy was respected. Staff worked well together, they understood the agency’s aim to deliver high quality care, which helped people to continue to live in their own homes.

Systems to monitor how well the agency was operating were carried out well. Where concerns were identified, the registered manager followed this up to make sure action was taken to rectify the issue.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Rating at last inspection: Good. (Previous report published 15 September 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor information we receive about the service until we return to visit as scheduled in our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 27 June 2019

The service was safe

Details are in our Safe findings below.



Updated 27 June 2019

The service was effective

Details are in our Effective findings below.



Updated 27 June 2019

The service was caring

Details are in our Caring findings below.



Updated 27 June 2019

The service was responsive

Details are in our Responsive findings below.



Updated 27 June 2019

The service was well-led

Details are in our Well-Led findings below.