- Homecare service
Ambito Community Services East Midlands
Assessment report published 26 February 2026
Contents
Ratings
Our view of the service
Date of assessment: 26 November 2025 to 13 January 2026.
The service is a care at home service providing support to children and younger adults with a learning disability and autistic people, as well as those living with physical disabilities or sensory needs. Not everyone who used the service received the regulated activity of personal care. CQC only inspects where people receive personal care. This relates to help with tasks related to personal hygiene and eating. There were 6 people receiving a regulated activity at the time of our inspection.
An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability. 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.
The provider had developed the service in line with the key principles of choice, independence and inclusion.
Relatives felt their family members were safe and well cared for. Staff understood safeguarding and risk management, and medicines were handled safely. Infection control was effective.
Care was based on best practice, with regular assessments and monitoring. Staff worked well with healthcare partners and people’s consent was respected.
Staff were caring. Independence was encouraged, and relatives praised the caring approach. Staff wellbeing was supported.
Care was person-centred and support plans were detailed. People were involved in decisions where possible and complaints and concerns were managed appropriately. End of life care plans required further development to reflect people’s wishes in this area.
Values were at the centre of the service and leadership promoted a positive culture. Governance systems were strong and staff felt able to speak up. The service worked well with external partners while focusing on continuous improvement.
People's experience of this service
We sought feedback from relatives as we were unable to speak with any of the people who received support.
Families consistently described staff as kind, respectful and committed to providing personalised care that met individual needs. They felt their relative was safe and well supported, with staff demonstrating good knowledge of their communication styles, health conditions and daily routines. Families highlighted positive relationships built over time, noting that staff promoted dignity, encouraged choice and supported meaningful activities such as community outings, day service participation and sensory experiences. Several relatives spoke about staff going “above and beyond,” helping people feel comfortable during personal care, recognising early signs of distress, and adapting approaches such as singing or using visual cues to support engagement.
Where concerns were raised, these were mostly linked to staffing shortages and occasional lapses in communication or planning. A few relatives described isolated issues but said these were addressed appropriately once highlighted. Despite these concerns, families expressed trust in the staff and management, describing the service as caring, responsive and committed to learning. Many stated they would recommend the service and valued the positive impact it had on their relative’s wellbeing and on maintaining stability within family life.