- Homecare service
Ranis Healthcare Limited
Assessment report published 1 August 2025
Contents
Ratings
Our view of the service
Date of assessment: 25 February to 16 April 2025. This was the first assessment of this service. Ranis Healthcare Limited is a domiciliary care service, providing personal care and support to adults of all ages, some of whom were living with dementia and / or a physical disability. We carried out this assessment in response to concerns we received about the management of the service. We found 6 breaches of regulations relating to person centred care, safe care and treatment, safeguarding, governance, staffing and safe recruitment. At the time of the inspection there was no registered manager in post.
Systems and processes to ensure people were protected from the risk of harm were poor and inefficient. There was no oversight from the provider to ensure staff supported people safely, in a timely manner and in a way that met their needs. People were not always treated with kindness and compassion. Staff lacked information to understand people’s individual needs and preferences. Staff had not completed all appropriate training, nor had they had their competency assessed in key areas. Medicines were not managed safely. Monitoring and governance arrangements at the service were ineffective and limited. Systems in place to identify improvements required were not robust and were not used to drive improvement at the service. Feedback from people, relatives, and staff was not used for making improvements to the service.
In instances where CQC has decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and / or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
Although we received mixed feedback, people were generally unhappy with the quality of care provided by Ranis Care Limited. They told us staff were often late, did not always stay for the allocated time and they were not always told who would be attending. One person told us, “I never know what time they should be here or how long they’re going to stay. They usually come eventually, but not always when they say they will.” Many people told us they were supported by an inconsistent staff team, which impacted on the quality of care provided and how safe they felt. One person told us, “I always have different people coming in and out.” Many people felt staff had insufficient training to support them in a safe and effective manner and did not feel confident support would be provided in line with their care plan. One relative told us, “I feel I have to keep an eye on things”. Some people described staff as “funny”, “kind” and “caring.” Others were less positive, with a person stating, “Some are nice enough, but they’re always rushing, so there’s no time for real kindness.” People were unsure who was managing the service and did not feel listened to. One relative told us, “They never call back – it’s like shouting into a void. It is just a rudderless ship."