- Homecare service
Spire Homecare Limited
Assessment report published 9 February 2026
Contents
Ratings
Our view of the service
Spire Homecare Salisbury is a homecare care agency providing the regulated activity personal care to people living with dementia, people over 65 years of age and people under 65 years of age. At the time of our assessment there were 65 people receiving a regulated service. We visited the service on 27 November 2025. The inspection was carried out because of the length of time since the last assessment.
The inspection was a comprehensive assessment covering key areas such as infection prevention and control, medicines management, staffing levels, choice and control, governance, leadership, and safeguarding practices.
Since the last inspection, the provider had experienced rapid growth of the business which had led to an increase in staff recruitment, managers and care packages for people. We identified some shortfalls within the governance of the provider. The provider had an awareness of these shortfalls and had developed an improvement plan.
Staff had been recruited safely with all pre-employment checks completed prior to them starting. Staff training was current, in line with national standards and all staff had the care certificate qualification as a minimum. We identified some shortfalls in staff supervisions. However, Staff told us leaders and managers supported them well. The provider had a focus on staff well-being, organising team meetings and informal drop in coffee mornings to catch up and chat.
All staff had completed safeguarding training and expressed confidence that any concerns raised would be addressed appropriately by leaders. The provider worked with individuals to identify and manage risks, supported by risk management plans that provided some guidance on how to deliver care safely. However, there were some shortfalls with care planning documents which lacked documentation relating to people’s capacity and personal preferences regarding how people liked their care to be delivered.
Staff protected people’s privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends.
People's experience of this service
We received mixed feedback from people and their relatives about their care. Of the 11 people we spoke to, 4 said the care was ‘good’ while 6 told us the care was ‘okay’. Comments from people included “My regular carer is great, and I have developed a relationship with them” and “Individual staff are lovely but I wonder if they have a high turnover”. Several people felt that care was sometimes rushed. People told us they did not always feel staff knew how to support them in the right way. Most staff told us there were shortfalls in the timing of their care visits. People said staff did not always arrive on time and some did not stay for the full duration of their scheduled visit. People said longer serving staff had the right knowledge, skills and approach to providing care. Comments included, “If staff are running late, I will usually be informed” and “Staff are good with me”. However, people were concerned about newer staff not knowing how to support with some tasks. Although people had care plans they told us they had not seen them.