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Assist Care Group - Surrey

Overall: Outstanding read more about inspection ratings

Old Horsham Road, Beare Green, Dorking, RH5 4QU (01306) 710900

Provided and run by:
Assist Care Group Limited

All Inspections

During an assessment under our new approach

Date of assessment 5 August 2026 to 21 August 2026. Assist Care Group - Surrey is a care at home service providing personal care and support to adults of all ages, some of whom were living with dementia, physical and sensory impairment, autistic people and people with a learning disability. Not everyone using the service received personal care. CQC only inspects where people receive personal care. Where they do, we also consider any wider social care provided. At the time of this assessment there were 37 people receiving care and support.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

Staff supported people with kindness, compassion and dignity. The provider prioritised workforce wellbeing and enabled staff to deliver highly personalised care. Staff respected people’s privacy, dignity and individuality in every aspect of their work. They extended shifts, waited with people for ambulances, supported families through sudden end-of-life situations and ensured no one faced distress without support. People and relatives praised staff’s compassion, professionalism and commitment. Longstanding relationships helped staff build trust and provide continuity.

Staff responded particularly well to people’s immediate needs. They recognised changes in people’s health or circumstances, escalated concerns promptly and coordinated urgent help with GPs, district nurses, paramedics, pharmacies and hospitals. The provider adjusted staffing after hospital discharge, arranged care at short notice and ensured carers waited for people returning home late at night. The provider’s ‘Report to Support’ process and live operational oversight enabled managers to triage and act on frontline concerns immediately, minimising people’s discomfort, distress and risk.

Leaders embedded workforce wellbeing and enablement throughout the service. They prioritised staff welfare by providing mental health support, flexible working, regular supervision, competency development and immediate assistance when staff faced difficult situations. Staff felt valued, listened to and empowered to influence decisions. The provider retained staff exceptionally well, which gave people experienced carers, continuity of care and trusted relationships.

Leaders created a clear vision based on transparency, equality, human rights and inclusion, informed by their strong understanding of people, staff and local communities. Staff understood these values and described leaders as visible, approachable and accountable. Leaders used digital systems to maintain real-time oversight, communicate transparently and share learning.

The service fostered a strong speaking-up culture. Staff raised issues openly, anonymously or through a confidential email that only senior managers could access, and leaders clearly signposted independent escalation routes. Through regular meetings, supervision, independent surveys and ‘you said, we did’ feedback, leaders strengthened psychological safety and showed staff that they acted promptly on concerns and ideas.

Leaders promoted workforce equality, diversity and inclusion within the organisation and challenged inequality and structural bias across the sector. They contributed to local and national discussions about modern slavery, travel expenses and minimum-wage compliance, reviewed policies to identify discriminatory barriers and used staff feedback to shape improvements.

The provider placed learning, improvement and innovation at the centre of its approach. Leaders systematically analysed incidents, complaints, safeguarding concerns and medicines errors and turned learning into preventive action. They used independent feedback to strengthen transparency and technology to connect staff’s real-time reports directly with relevant policy guidance. The provider also developed software to analyse electronic call-monitoring and contractual data relating to travel time, working-time requirements and minimum wage, aiming to improve workforce equity and care quality across the wider sector.

Staff kept people safe, assessed and reviewed their needs, managed medicines effectively and coordinated care with health and community partners. When people raised concerns about visit timings or infection-control practice, the provider recognised the issues, acted promptly and strengthened oversight, training and monitoring. Overall, staff delivered exceptional compassionate care, while distinctive leadership drove personalised support, timely interventions, workforce stability and continuous improvement.

21 November 2019

During a routine inspection

Fir Tree House is a domiciliary care agency that was supporting 141 people in their own homes. Not everyone using the service receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene, medicines and eating. Most of the people using the service were older people, some of whom were living with dementia. At the time of our inspection 92 people were receiving the regulated activity from the agency.

People’s experience of using this service

People were aware they had care plans and told us they felt staff met their needs. However, we found a lack of person-centred and individualised information in care plans and some records which were not clear or contradictory. We have issued a recommendation to the registered provider in both respects.

People were cared for by staff who they said were very kind and caring, attentive and kept them safe. Staff had developed good relationships with people and were thoughtful in their approach to help people have the best care possible. People were happy with the food made for them, the way staff supported them with their medicines and access to healthcare professional input should they need it.

People said they felt listened to and asked if they were happy with the service they received by the agency. They told us staff timekeeping was satisfactory, staff stayed for the time expected and on the whole they saw the same staff.

People were cared for by a sufficient number of staff who were well trained and staff who understood how to keep people safe. Staff understood their responsibility in helping people retain their independence as well as gaining their consent before they carried out any care.

Staff felt supported and valued by management and the registered provider had introduced incentives to create a positive culture within the staff team. The service was constantly trying to improve its service to people by introducing new technology to assist with timekeeping and reducing the chance of a missed call. Governance arrangements were robust which helped the service identify shortfalls and areas for improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (report published 9 February 2018). Since this rating was awarded the registered provider has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

The service has now improved to Good as the registered provider had addressed the shortfalls we identified which related to monitoring calls to people. Since the last inspection, the registered provider has introduced a home care software system which enables the office to track care calls.

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor intelligence 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.