Selective Care

Updated 12 August 2025

Date of Assessment: 18 August to 19 September 2025. This assessment covered of all the 5 key questions. This assessment was prompted by a review of the information we held about the service. The service is a care at home service providing support to older and younger people living in their own homes. Not everyone who used the service were receiving the regulated activity of personal care. Personal care is help with tasks related to personal hygiene and eating. At the time of our assessment, they were providing personal care services to 24 people.

The registered manager fostered a forward thinking, progressive ethos, focused on continuous improvement and overcoming barriers to people receiving good quality care. They had made excellent links with external health and social care partners to improve people’s outcomes around the safety of hospital discharges and reducing risks related to monitoring people’s changing needs and medicines prescriptions.

The provider had worked creatively to ensure that people were given information about their care in a format they understood. This helped to ensure that people were equal partners in planning and reviewing their care. This also helped to ensure the provider could obtain valid consent to care as they had met people’s communication needs.

We received consistently positive feedback from people, about the quality of care, positive relationships with staff and communication with senior staff. People told us they received the care they needed in a way which was person centred and promoted their dignity.

Staff received appropriate training and support in their role and had a good understanding of how to keep people safe in their own homes. The provider was responsive to people’s needs and ensured that care was adjusted when people’s needs changed. Staff had a good knowledge around how to manage risks related to care, safely administer people’s medicines and respond to incidents. This helped to keep people safe.

The provider had effective policies and procedures in place to promote good quality care and effective oversight of the service. This included systems to monitor how care was being delivered and systems to gain feedback about care. The provider acted positively to people’s feedback and used associated learning to make positive change.

The service is registered for use by autistic people or people with a learning disability. At the time of the assessment, the service was not used by anyone with a learning disability or an autistic person. Staff had completed training in supporting people with a learning disability and autism and the registered manager had obtained qualifications in training staff in positive behaviour support. However, the registered manager told us they did not currently plan to take on care packages within requiring this specialism.

Updated 12 August 2025

We spoke to 13 people and relatives via telephone to gain their feedback about the care they received.

People told us they felt safe receiving support from staff. They said that staff were well trained and competent in their role. Comments included, “They (staff) are well trained and very good companions”, “The carers are brilliant. They keep me safe and look after me well” and, “The carers (staff) are well trained and excellent. They are trustworthy and vigilant in all areas.”

People and relatives said they received a consistent service. They said that staff arrived at agreed times, and they completed care tasks needed to a good standard. Comments included, “I think the carers have a very professional approach”, “We have not had any missed calls. (My relative) has different staff but (my relative) knows them all. They have fairly set times of the calls and are on time” and, “They (staff) provide personal care to a high standard.”

People told us they engaged in planning and reviewing their care. They told us their care plans reflected their needs and promoted their choice and independence. People told us that staff had a good understanding of their needs and promoted a person-centred approach. Comments included, “(My relative) is involved with how he wants his care to be carried out and is very happy”, “I can still do most things myself, but I try to do these things in the presence of the carers for support” and, “They (staff) are very aware of the need to take their time. (assisting my relative to eat) and giving him drinks. They do this very slowly and gently.”

People told us they were treated with dignity and respect by staff. Comments included, “They (staff) take their time with (my relative) and he is not rushed” , “They (staff) treat me with dignity and respect and are kind people” and, “My (relative) is happy and content and never feels rushed and we could not have asked for a better care package.”

People told us that staff were dedicated in their role and helped them to remain safe and feel comfortable if incidents occurred or they felt unwell. Comments included, “I could not do without them (staff). If they are worried about (my relative’s) health, they will call a doctor”, “I had a fall one day and staff stayed with me until the ambulance came” and, “They (staff) are very good at communication and will contact me if they are concerned about anything (regarding my relative).”

People told us that senior staff were approachable, caring and had excellent communication skills. Comments included, “The office staff are absolutely brilliant. You can talk to them like you’ve know them for years,” “I like the way they (senior staff) also roll their sleeves up and do personal care too” and “I would highly recommend Selective Care. They have done an excellent job for me.”