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Bespoke Care (Sheffield) Limited

Overall: Good read more about inspection ratings

Silverstamp House, Club Mill Road, Sheffield, S6 2FH (0114) 442 7949

Provided and run by:
Bespoke Care (Sheffield) Limited

All Inspections

During an assessment under our new approach

Date of Assessment: 14 to 27 November 2025. This service is a domiciliary care service, registered to provide personal care for people living in their own homes in the community. They provide support to people with a range of different needs including older people and younger adults. At the time of the assessment 169 people were using the service, 142 of which were receiving the regulated activity of personal care. Not everyone who uses a domiciliary service receives personal care. CQC only inspects where people receive personal care.

An assessment has been undertaken of a specialist service that is registered for use by autistic people or people with a learning disability. At the time of the assessment, the service was not supporting anyone whose primary support need was a learning disability or autism. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. This provider was able to demonstrate how they were meeting the underpinning principles of ‘Right support, right care, right culture’.

The service is also registered as a supported living service but at the time of our assessment was not providing this type of support. We therefore did not assess this part of their registration.

We rated this service under our previous methodology in September 2018 where it was inspected and rated as good overall. At this assessment we reviewed all 5 key questions and rated the provider overall good.

Since our last visit the service has had a change of provider. We received mixed feedback from staff on changes implemented and support now in place. We discussed this with the provider who agreed to explore further with the staff team.

Care records for some people contained historical information or needed additional detail in some parts of the care plan or risk assessments. Whilst we found no harm to people, further review was needed to ensure risks were fully mitigated and to ensure staff had accurate information to be able to provide care and support that was safe, consistent and effective. This was actioned immediately by the registered manager.

There were enough staff with the right skills, qualifications and experience. Staff received appropriate training, and the management team supported staff through regular supervisions and appraisals. Recruitment systems were under review to fully ensure the safe recruitment of staff.

People were protected from the risks of abuse and staff were trusted to keep them safe. Staff had received training in how to safeguard people. Lessons were learnt from incidents and shared with staff.

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

People were involved in assessments of their needs and care was based on the latest evidence and good practice. Staff worked with other agencies to support people to achieve good outcomes.

Staff supported people to understand their care and treatment and to enable them to give informed consent.

Governance systems were in place to monitor the standard of care people received.

13 September 2018

During a routine inspection

This comprehensive inspection took place on 13 September 2018 and was announced. The registered provider was given short notice of our inspection. We did this because the service is small and the manager was sometimes out of the office and we needed to be sure that they would be available. This was our first inspection of the service.

Bespoke Care is a small domiciliary care service registered to provide personal care for people living in their own homes in the community. At time of the inspection the service was providing a home care service to seven people. It provides a service to older people, people living with dementia, mental illness or physical disability and people with learning disabilities or autistic spectrum disorder.

There was a manager at the service who was registered with CQC. 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.

We saw there were sufficient staff to provide regular care workers to people using the service. People received care from the same group of care workers. The person we spoke with was satisfied with the quality of care they received and made positive comments about the staff.

Relatives we spoke with were very satisfied with the quality of care their family member received. Relatives also made positive comments about the staff and the senior managers.

Care plans were detailed and person centred. People’s preferences, interests and diverse needs had been recorded and care and support had been provided in accordance with people’s wishes. Care plans were reviewed regularly and changed to reflect current needs.

Staff had undertaken safeguarding training and so they understood their role and responsibilities in keeping people safe from harm.

We saw people were cared for by suitably qualified staff who had been assessed as safe to work with people.

The service had appropriate arrangements in place to manage medicines so people were protected from the risks associated with medicines.

People had risk assessments in place, to ensure that potential risks to people were managed and minimised whilst still promoting independence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff underwent an induction and shadowing period prior to commencing work, and had regular updates to their training to ensure they had the skills and knowledge to carry out their roles. Staff were well supported and received supervisions regularly.

We found the service had responded to people’s and/or their representative’s concerns and taken action to address any concerns.

The leadership and culture of the service promoted the delivery of high quality care.

People and relatives spoke highly of the staff, the registered manager, the nominated individual and the service as a whole.

There were quality assurance systems in place to monitor the quality and the safety of the service provided.

The service sought the views of people and their representatives to continuously improve the service.

Systems were in place to make sure that managers and staff learn from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations.