- Homecare service
HK Care Consulting Limited
Assessment report published 6 November 2026
Contents
Ratings
Our view of the service
Date of assessment: 28 September to 13 October 2026
HK Consulting Limited is a domiciliary care agency providing personal care to younger or older adults with learning disabilities or autistic spectrum disorder, dementia or physical disability and mental health conditions. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 3 people in receipt of a regulated activity.
We inspected this service due to the length of time since the last inspection.
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.
People were supported by staff who knew them well and understood their individual preferences, including their likes, dislikes and the places they enjoyed visiting. Relatives spoke highly of staff and said they promoted people’s choices and independence and responded flexibly when people’s needs changed. Staff worked with health professionals when needed, and accidents and incidents were managed safely. However, staff did not always follow 1 person’s behaviour support plan. Records did not demonstrate staff had tried alternative strategies before administering sedative medicines, placing the person at potential risk of overmedication.
Relatives described staff as kind and caring, and staff took pride in their work. Staff had access to personal protective equipment and had completed training and competency assessments relevant to their roles. However, people were not always fully protected by the provider’s systems. Mental capacity assessments had either not been completed when required or were not supported by robust best-interest decision-making. The provider had also not followed safe recruitment processes consistently, which increased the risk that unsuitable staff could be employed.
Staff spoke positively about leaders, felt well supported and enjoyed working at the service. However, governance and oversight systems were not sufficiently effective. Staff supervision did not include robust discussions to identify concerns, support learning or drive continuous improvement. Audits had also failed to identify the concerns found during the inspection, including those relating to behaviour support, medicines, mental capacity and recruitment. As a result, leaders could not be assured risks were consistently identified and addressed or people always received safe, rights-based support.
We identified 3 breaches of regulation, relating to consent to care, safe care and treatment, and governance and oversight of the service. We have asked the provider for an action plan in response to concerns found at this assessment.
People's experience of this service
Despite CQC finding people’s care had some shortfalls in relation to the standards we expect, overall people and relatives were satisfied with the care they and their family member were receiving.
Relatives were consistently positive about the care and support people received. They told us staff engaged well with their family members, knew them well and understood their individual needs and preferences. One relative said, “Staff know [person] inside out.” People received support from a consistent staff team, which helped staff develop positive and trusting relationships with them. When asked whether staff were well trained, a relative told us, “Absolutely, I can’t doubt or fault their experience.”
Relatives described the positive difference the service had made to people and their families. One relative said, “The change they have made to [person’s] life, and to our own quality of life, has been unbelievable. We continue to feel extremely privileged. They are extremely accommodating. Nothing has ever been too much trouble. They are genuinely really supportive, and we find it all amazing.” A relative also said staff “seem really respectful of the property when they come in.”
Relatives were happy with communication from the provider and felt listened to when they raised concerns. One relative described the registered manager as “a very good listener.” Overall, relatives felt staff treated people with kindness and respect, promoted positive relationships and provided flexible support.