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ACAH Limited Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 23 September 2020

About the service

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of inspection 23 people were being supported with personal care.

People’s experience of using this service

The provider had taken steps to improve the service and ensured people received care from staff who were supported through supervisions and team meetings. The provider had implemented systems to ensure they maintained effective oversight of the quality and safety of the service.

Staff training requirements had been met. All staff had received the provider’s mandatory training and there was improved oversight; the provider checked what training had been completed or was required.

People and their relatives had been given an opportunity to feedback about the quality assurance of the service. Feedback we viewed was positive and complimentary of the service provided.

The provider had developed a more detailed auditing system which ensured better oversight of the management of the service. The provider was continuing to make improvements to quality assurance processes and how the feedback received could be collated and presented to people using the service and their relatives.

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

Rating at last inspection

The last rating for this service was requires improvement (published 11 March 2020) when there was a breach of regulation.

Following our last inspection, we served a warning notice on the provider. We required them to be compliant with Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 by 30 April 2020.

Why we inspected

This was a targeted inspection based on the warning notice we served on the provider following our last inspection. CQC are conducting trials of targeted inspections to measure their effectiveness in services where we served a warning notice.

We undertook this targeted inspection to check they now met legal requirements. This report only covers our findings in relation to the governance of the service. The overall rating for the service has not changed following this targeted inspection and remains requires improvement. This is because we have not assessed all areas of the key questions.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 23 September 2020


Requires improvement

Updated 23 September 2020



Updated 23 September 2020



Updated 23 September 2020


Requires improvement

Updated 23 September 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Details are in our well-led findings below.