- Homecare service
Impression Health and Support Domiciliary Care Agency
Assessment report published 2 July 2025
Contents
Ratings
Our view of the service
Date of Assessment: 27 May and 2 June 2025. The service is providing support to younger adults with a diagnosis of learning disabilities and autism.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgments 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 understood how to support people in managing risks and had the right skills and training to do so safely. Medicines were managed appropriately and incidents were thoroughly investigated. Managers took action to reduce the risk of similar events from happening again.
People and their families were actively involved in assessing care needs and often attended appointments with people and their staff. Staff considered people’s communication preferences to ensure they were fully engaged in decisions about their care. Efforts were made to help people understand their treatment so they could give informed consent.
People were treated with kindness and respect. Staff worked to protect people’s dignity and prevent discrimination. People had choices in their care and were encouraged to use assistive technology to stay in touch with family and friends.
The service provided information in ways that suited people’s sensory and communication needs. They also worked to reduce health and care inequalities through staff training, health passports, and by responding to feedback.
Leaders and staff shared a positive culture based on listening, learning, and trust. Managers recognised when staff needed breaks, and this was always planned in a way that didn’t impact people’s support. Staff reported feeling well supported.
People's experience of this service
We spent time with 1 person in their home and their staff team. We were unable to visit the other person. However, we spoke to their relative who was involved in their care and we spoke to their staff team to ensure they had a good knowledge and understanding of the person and their care needs.
We spent some time with a person and observed staff interacting with them. Staff were kind and respectful. The person looked happy and responded well to the staff.
Relatives gave us the following feedback, “I feel [person] is really well taken care of” and “Impressions do a really good job, we are pleased. They are happy.” Another relative said, “[Person] is well looked after, clean, and I think the staff do care.” Another relative said “We are happy with what goes on, and feel the staff are well skilled.”
Some comments indicated relatives felt communication from the managers could sometimes be improved. We raised this during our feedback session with the provider.