During an assessment under our new approach
Date of Assessment: 19 November to 13 January 2026. The service is a care at home service registered to provide support to children, older people and younger adults, including people who may live with dementia, mental health, sensory impairment, eating disorder, physical disability or learning disability needs.
At the time of inspection there were 30 people using the service and all of the people were receiving the regulated activity personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
An inspection has been undertaken of a specialist service that is registered for use by autistic people or people with a learning disability. At the time of inspection, the service was not used by anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At this inspection we found the service was meeting the underpinning principles of Right support, Right care, Right culture.
A registered manager was in place, who was also the nominated individual (NI). The NI is registered with the Commission and is legally responsible to ensure that the service is compliant with legal and regulatory requirements.
At our last inspection, we identified a breach of legal regulation in relation to good governance. At this inspection, improvements had been made and the provider was no longer in breach of legal regulation.
People, relatives and staff spoke positively about the service and management. People received effective care that met their needs. Detailed records provided guidance to ensure people received safe and effective care. Risks to people had been assessed and care plans were in place to help mitigate risks as far as possible. Medicines were managed safely. However, some improvements were still needed in the records for medicines. People had choice in their care. Staff made sure people understood and were involved in decisions about their care and treatment. Accidents and incidents were investigated, action taken, and lessons learned. There was an effective quality assurance system to assess the quality of care in the service.
There were enough staff with the necessary skills, qualifications and experience. However, improvements were needed to roster management to ensure people received consistent care. People were treated with kindness and compassion. Staff protected their privacy and dignity. Staff knew the care and support needs of people they supported, care records reflected the care provided by staff. People were supported to ensure their health care needs were met. Systems were effective and in place to protect people and ensure their safety. They were supported to take risks to improve their quality of life. An effective governance system was in place to monitor the quality and safety of the service.