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This service was previously registered at a different address - see old profile

Inspection Summary

Overall summary & rating


Updated 15 November 2019

About the service

Gaddesden Row Office is a domiciliary care service that is registered to provide personal care to people living in their own homes in the community. At the time of our inspection 61 people were being supported with personal care.

People’s experience of using this service and what we found

There were some areas in the service delivery which required some improvements. The management team was further developing risk assessments, mental capacity assessments and care plans for people to ensure the support provided was in line with current best practice and legislation.

People were very happy with the support they received. They felt safe and well supported by staff who were kind and caring. Relatives told us the service was reliable and delivered the support needed for people to live in their own homes.

Staff were allocated to support the same people where possible. This ensured people had continuity of care and their support needs were met by staff who knew them well.

People had their needs assessed before they used the service. Care plans and risk assessments were developed to give staff guidance on how to deliver care safely and effectively.

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.

People told us they had confidence in staff and the management to raise any issues and these were listened to. The service was flexible and accommodated people’s changing needs.

Staff knew how recognise when people were at risk of any abuse. They reported their concerns promptly internally and externally to local safeguarding authorities.

The management team supported staff to carry out their roles effectively through training, supervisions and competency assessments.

People received care and support in a personalised way from staff who they developed close and trusting relationships with.

People`s medicines were administered as intended by the prescriber by staff who were trained, and competency assessed.

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

Rating at last inspection

The last rating for this service was requires improvement (published on 12 September 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 15 November 2019

The service was safe.

Details are in our safe findings below.



Updated 15 November 2019

The service was effective.

Details are in our effective findings below.



Updated 15 November 2019

The service was caring.

Details are in our caring findings below.



Updated 15 November 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 15 November 2019

The service was not always well-led.

Details are in our well-Led findings below.