- Homecare service
Aland Healthcare Agency
Assessment report published 16 October 2026
Contents
Ratings
Our view of the service
Date of assessment: 30 April to 12 June 2026
Aland Healthcare Agency is a domiciliary care agency providing personal care to adults in their own homes. At the time of the assessment, it supported 17 people, including older and younger adults and people living with dementia, sensory impairment or physical disability.
The registered manager led the service and managed its day-to-day operation. The agency employed 13 care workers and used a small team of regular staff to provide continuity. Staff supported people with personal care, medicines prompts, meals, shopping, appointments and household tasks, according to each person’s agreed care arrangements.
The provider received referrals through local authority arrangements and direct payments. It assessed people before care started, agreed care plans and risk assessments, and introduced a main care worker with cover for leave or sickness. The service worked with GPs, district nurses, pharmacies, hospital teams, commissioners and other professionals when this formed part of a person’s care.
The provider checked the service through care reviews, staff supervision, spot checks, audits, surveys and direct contact with people. Leaders remained closely involved because the service was small. The assessment considered people’s feedback, care records, workforce records, professional feedback and information from the registered manager.
People's experience of this service
The Expert by Experience spoke with 7 people and 2 relatives. Most people described a dependable service that helped them remain at home. They valued regular care workers who understood their routines and provided support at agreed times. People said staff helped with personal care, meals, medicines, shopping, appointments and keeping their homes comfortable.
People described warm relationships with staff. They said workers spoke respectfully, asked permission and supported everyday choices. One person said the support had “helped me stay in my own home”. A relative said visits were reliable and staff had “never missed a call”. These experiences showed that continuity gave people confidence and supported their independence.
One person said a worker did not change the way washing support was given when asked. One relative raised concerns about pressure care, staff knowledge and changes to visits. We considered these accounts alongside care records, workforce evidence, management information and professional feedback. The wider evidence did not show a pattern of unsafe or unresponsive care. However, the examples showed why staff needed to listen in the moment and why records needed to show clearly how changing needs and concerns were reviewed, acted on and followed up.