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  • Homecare service

Wisteria Care

Overall: Good read more about inspection ratings

Middlefield House, Marlott Road, Gillingham, Dorset, SP8 4FA (01747) 852107

Provided and run by:
Mr & Mrs S Wortley

Important: This service was previously registered at a different address - see old profile

All Inspections

During an assessment under our new approach

Date of assessment: 23 September 2026 to 1 October 2026.

Wisteria Care is a homecare agency registered to provide support to people living in their own homes. The service is registered to support whole population, people with dementia, people with mental health needs, sensory impairments, physical disability and people with a learning disability. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our assessment there were 57 people receiving a regulated service.

We visited the location's office on 23 September 2026. We gave the service notice of the inspection. This was because we needed to be sure that the provider would be in the office to support the assessment.

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. At the time of the assessment, the service was not supporting any autistic people or people with a learning disability, but the provider had regard to ‘Right support, right care, right culture’.

People received safe, personalised care that met their needs. Staff were aware of their responsibility to identify and report potential abuse. People’s medicines were managed safely. Staff completed safeguarding training and were confident any concerns raised would be properly dealt with. There were enough staff to meet people’s needs, and people were supported by a consistent staff team.

People were complimentary about the staff and positive relationships had been developed. People had a person–centred and comprehensive care plan, which they helped devise and review regularly. People were involved in managing risk and emerging risks were responded to in a timely manner. Staff sought peoples consent before providing care and support. Where appropriate, people were supported to access GP and primary care services.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences.

Staff had been recruited safely with all pre-employment checks completed prior to them starting work. Staff were supported in their role with good access to training and supervision. Staff felt able to speak openly with the management team. The new manager had implemented systems to facilitate good communication, and processes to record and learn from any incidents, accidents or complaints that occurred. A regular programme of spot checks was in place to review the quality and safety of care delivery.

Effective systems for monitoring quality and safety were in place, including audits, spot checks and oversight of practice. Feedback from people was obtained by the provider and was used to support improvements within the service. The provider had established a process of learning from events that placed individuals at risk. Openness and transparency about safety was actively encouraged and embedded in the service.

 

 

12 March 2018

During a routine inspection

Wisteria Care office is situated in Shaftesbury. It provides support to people living in Gillingham, Blandford Forum, and surrounding areas.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People we spoke with told us they felt safe using the service and said they trusted the staff that supported them. People and their relatives were extremely satisfied with the quality of the service they received and the caring approach from staff. People said about the service, “‘Very good, my dignity is well upheld” and “I’m really happy with the care I get”.

Some people needed the support of staff to either give or prompt them to take their prescribed medicines and creams. We identified gaps on the MAR [medication administration records] for both prescribed medicines and creams. The manager told us some of the gaps were linked to family members who also gave out medicines without signing.

Risk assessments clearly identified any risk and gave staff guidance on how to minimise the risk. They were designed to keep people and staff safe while allowing people to develop and maintain their independence. People had a copy of their records in their home and a copy was retained in the office. People told us they looked through the records and were happy with how the information was recorded.

People were supported by enough staff to provide effective, person centred support. Staff were recruited safely with appropriate pre-employment checks and received training and support to ensure that they had the necessary skills and knowledge to meet people’s needs. Rotas showed that people had staff who visited regularly and staff told us that they generally visited the same people each week.

People were supported to make choices about all areas of their support and staff understood the principles of mental capacity. Where people had medical decisions in place around their end of life care, these were recorded. Some care plans reflected that end of life wishes and preferences had been discussed. The registered manager told us that they would ensure that people’s choices and preferences were consistently discussed and reflected in people’s care plans.

People and those important to them were involved in planning the support they would receive and were asked for their views about the support and any changes to people’s needs. Reviews identified where people’s needs had changed and reflected changes to the support provided in response to this.

People were supported by staff who respected their individuality and protected their privacy. Staff understood how to advocate and support people to ensure that their views were heard and told us that they would ensure that people’s religious or other beliefs were supported and protected. Staff had undertaken training in equality and diversity and understood how to use this learning in practice. Interactions with people were kind and caring, and relatives told us that they had peace of mind

People were supported from the spread of infection by staff who understood their role in infection control and used appropriate Personal Protective Equipment (PPE).

People were supported to maintain a healthy lifestyle. Staff supported some people with their food shopping and assisted them with the preparation and cooking of their meals. People's choices of the foods they wished to purchase were respected.

Staff were aware of the reporting process for any accidents or incidents that occurred and there was a system in place to record incidents. Where accidents, incidents or near misses had occurred these had been reported to the service's managers and documented in the service's accident book.

When people started using the service, senior staff carried out the support visits to ensure the care records reflected what the person wanted. Care planning was reviewed regularly and whenever people's needs changed. Where people's needs had changed or when people went into hospital, they were visited to ensure the service could still meet their needs. People consented to their support and family members were given the opportunity to contribute and agree with the plan.

People were supported to access healthcare professionals when required and the service worked with a number of external agencies to ensure that people received joined up, consistent care.

Staff were confident in their roles and felt supported by the registered manager and office team. Feedback from people and relatives indicated that the registered manager and management team were approachable, listened and took actions where necessary.

The registered manager and office manager told us that they learned from mistakes. To do this they held team meetings and discussed as a whole team what happened and what can be done different to improve and prevent the same mistake from occurring again

Quality assurance measures were used to highlight whether any changes to policy, processes or improvements in practice were required. The registered manager and provider were working on ensuring that systems were proportionate to the type and size of service and provided consistent oversight.