- Homecare service
Paramount Options Ltd
Assessment report published 24 August 2026
Contents
Ratings
Our view of the service
Date of assessment: 29 June 2026 and 31 July 2026
Paramount Options Ltd is a care at home service. It provides personal care to people living in their own homes. At the time of our assessment, 15 people were receiving support with personal care. The service is registered to provide support for adults, dementia, learning disabilities, mental health conditions, physical disabilities, sensory impairments, eating disorders and substance misuse. At the time of the assessment the service was providing support for people with a learning disability.
This assessment was carried out following information received from the local authority following their quality assurance visit in April 2026. The service was rated good by the CQC in September 2024.
We expect health and social care providers to guarantee people with a learning disability and autistic people 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.
The provider was not meeting all the principles of ‘Right support, right care, right culture’.
Following investigations into incidents and accidents care plans were not always updated to indicate actions staff could take to reduce risks. Medicines were not always managed safely. Risks were not always identified and risk management plans providing staff with guidance were not always developed. Staff completed a range of training but some specific training relating to specific support needs was not in place.
The provider had a system for recording and reporting safeguarding concerns, but this was not always followed. The provider did not have a quality assurance process which was robust enough for them to identify when actions for improvements were required. People’s care plans did not always include information about the person’s wishes in relation to the provision of their care. Care plans were not always updated to reflect a person’s current support needs.
The provider was in breach of the legal regulation relating to person-centred care, safeguarding, safe care and treatment and good governance.
People's experience of this service
People and relatives confirmed an assessment of care needs was carried out and they had been involved in the development of care. One person told us, “The manager and the carer came for more than an hour and asked lots of questions.”
People told us they felt safe when they received support in their home. A person said, “Yes, I do feel safe; without them I would not be able to do anything, they are my lifeline.”
People and relatives told us they were happy with the care being provided with a person saying, “I am very happy with my carers at the moment and most people in the office; without them I couldn’t manage, I would give them 100 gold stars.” People said the staff who visited them were kind, caring and respected them when providing care.
People were supported to make informed decisions about their care. People’s religious and cultural preferences were identified as part of their care plan. People told us staff usually arrived on time and stayed for the full time of the visit.