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Alternative Care Services Limited Good

Inspection Summary

Overall summary & rating


Updated 27 June 2019

About the service

Alternative Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older people and younger disabled adults and is the first provider in the UK specifically for the LGBTQI+ (Lesbian, Gay, Bisexual, Transgender and other ways that people can define themselves, for example Q (Questioning) and I (Intersex)) community. They were supporting four people at the time of the inspection.

Not everyone who used the service received personal care. 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.

People’s experience of using this service

People and their relatives were positive about the caring and compassionate nature of the staff that supported them. One relative said, “They are inclusive and importantly, understand and look at LGBT issues.”

People and their relatives felt listened to and involved in decisions about their care. We received positive comments about the flexible and tailored approach to meeting their needs.

There was an open and inclusive culture across the service and people and their relatives felt comfortable approaching the management team. People and their relatives were confident any issues would be dealt with and had been happy with how the provider had responded to their feedback.

People felt safe using the service and relatives told us they felt reassured with the service provided. A health and social care professional praised the provider on how they had responded to an emergency.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

The provider was passionate about the rights of people who needed support from the LGBTQI+ community and shared information about inclusive events and opportunities with people and the staff team.

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

Rating at last inspection

At the last inspection the service was not formally rated (published 17 November 2018).

Why we inspected

This was a planned inspection based on the previous rating.

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



Updated 27 June 2019

The service was safe.

Details are in our safe findings below.



Updated 27 June 2019

The service was effective.

Details are in our effective findings below.



Updated 27 June 2019

The service was caring.

Details are in our caring findings below.



Updated 27 June 2019

The service was responsive.

Details are in our responsive findings below.



Updated 27 June 2019

The service was well-led.

Details are in our well-led findings below.