Updated 15 September 2026
Date of assessment 5 – 19 October 2026
Amicable Care Ltd is a domiciliary care service providing personal care to adults, including younger and older people and people living with dementia, physical disabilities and sensory impairment. At the time of this assessment, the service supported 25 people all of whom received support with personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
This assessment was undertaken in response to the previous rating of requires improvement and a continued breach of regulation relating to governance. We did not assess every quality statement as part of this assessment. Where we did not assess a quality statement score from the previous assessment were used. The service remains requires improvement following this assessment.
The provider was previously in breach of the legal regulation in relation to good governance. Improvements were not found at this assessment, and the provider remains in breach. We also found a breach of the legal regulation relating to safe care and treatment.
Care records continued to lack detail about people’s specific needs. Risk assessments were generic and some potential risks to people had not been assessed and mitigated, including in relation to continence care and skin integrity. We identified some contradictions within medicine management systems. There were some shortfalls in staff training, particularly in relation to practical moving and transferring of people. The providers governance systems remained ineffective. Shortfalls had not been identified, meaning required improvements had not been made. There was limited evidence of learning since the last assessment when similar concerns were identified.
Staff were knowledgeable about people’s needs and knew people well. Processes were in place to manage safeguarding concerns and complaints. Safe recruitment practices were followed and staff said they were well supported. Regular one to one support meetings and team meetings were held, where staff were able to communicate openly and share any concerns. Staff felt listened to by the management team.
This is the second consecutive assessment where the service has been rated requires improvement and the third consecutive assessment where the provider has been in breach of regulation relating to good governance. Following this assessment, we met with the provider and relevant stakeholders to discuss the concerns identified and the improvements required.