- Homecare service
Opportunities for Adults and Children
Assessment report published 2 March 2026
Contents
Ratings
Our view of the service
Date of assessment: 27 November 2025 to 17 January 2026.
Opportunities for Adults and Children is a domiciliary care agency and provides personal care to people living in their own homes. CQC only inspects where people are receiving the regulated activity personal care. This is help with tasks related to personal hygiene and eating. At the time of this assessment 17 people were receiving support with personal care.
This was a comprehensive assessment of all 5 key questions triggered by our ongoing monitoring of the service. We reviewed all 33 quality statements related to the 5 key questions, Is the service safe, effective, caring, responsive and well-led?
The provider was previously in breach of the legal regulations in relation to safe care and treatment, staffing and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.
The provider ran a service that specialised in caring for people within the local community, with staff who had a good knowledge of these areas. The provider had clear guiding principles around the complexity of needs they were able to accommodate. They focussed on delivering good quality personal care, where they were confident staff could meet people’s needs.
We expect health and social care providers to guarantee autistic people and people with a learning disability respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people; and providers must have regard to it. We found people received care and support in accordance with the principles of this guidance.
People were involved in planning and reviewing their care, which reflected people’s choices and promoted their independence. There were systems in place to oversee and improve the quality and safety of the service. This helped to promote a good quality standard of care.
There were enough staff to meet people's needs. A culture of kindness, inclusion, and respect was promoted within the service which supported person-centred care. Staff were kind and caring and had a good understanding of how to meet people’s needs.
The registered manager demonstrated strong knowledge of the service and actively promoted a positive, inclusive ethos. Leaders were passionate about the service and the promotion of person-centred care. The provider fostered a learning culture, actively seeking feedback and making improvements.They encouraged feedback and regular engagement with people, relatives and staff, and used this to drive ongoing improvements and deliver positive outcomes for people.
The provider engaged proactively in partnership working, ensuring care was well-coordinated and responsive to individual needs. The provider had effective policies and procedures in place to promote good quality care and effective oversight of the service. Leaders utilised opportunities to network, share learning and practice within the organisation and externally with other professionals.
People's experience of this service
People were supported to live safely and comfortably in their own homes. Relatives were positive about the quality of the care and treatment people received, and said people felt safe and were happy with the care they received. Comments included, “She is safe and happy”, “She is very, very happy. Out every day. We are lucky with the carers that she has”, “The service is meeting her outcomes”, “Staff sit and talk to her, they take their time” and “They are great carers. We are very lucky.”
Relatives told us people were listened to and consulted when planning and agreeing how their care and support should be provided. Comments included, “Care plan in place. Staff know her likes and dislikes”, “She has been assessed and things put in place. They meet her needs”, “They ask me what I think” and “What we have told them, they have taken it on board.”
Relatives said they would recommend the service. Comments included, “They go above and beyond. It all works well”, “They are quite good on the whole”, “The agency are much better. We are in a better place. Very happy”, and “I have trust in them. The standard of service is exceptional. They do their best to facilitate your loved ones.”