Updated 21 July 2025
23 July 2025 to 10 August 2025. The service is a care at home service providing support to older people, some of whom live with dementia, or have nursing needs, and / or physical disabilities. This assessment 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 the assessment, the service was not being 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.
The service had a proactive learning culture where incidents were logged, reviewed, and discussed in team meetings. Staff worked effectively with healthcare partners to ensure safe transitions, particularly after hospital stays, and safeguarding procedures were well understood and followed. People were actively involved in managing risks, and environmental assessments were thorough. Staffing levels were appropriate, with robust recruitment, training, and competency checks in place. Infection control measures were in place, and medicines were administered safely by trained staff.
Assessments were conducted before and during care packages, including those offering reablement support following hospital discharge. Care plans were person-centred and based on current best practice, reflecting individual routines and preferences. Staff collaborated well with other services, and people were supported to live healthier lives with a focus on independence. Outcomes were monitored and improved through regular reviews, and consent was consistently respected.
Feedback from people and relatives was positive, highlighting the kindness and reliability of carers. People were treated as individuals, with their choices and preferences respected, and staff responded promptly to immediate needs. Workforce wellbeing was prioritised, with staff reporting feeling supported and valued.
Communication methods were adapted for those with specific needs, and care plans included detailed personal information. The service was flexible in scheduling and provided accessible information. Feedback mechanisms were in place, and people felt involved in decisions about their care. Equity in access and outcomes was promoted, with staff advocating for people’s needs and supporting future planning, including end-of-life care.
At the last inspection the service was rated requires improvement and was in breach of regulation. At this inspection the service had improved and was no longer in breach of regulation. Governance structures were now robust, with clear accountability and a focus on continuous improvement. Partnerships with external professionals were strong, and the provider demonstrated a commitment to learning and innovation. Staff felt proud to work for the organisation and described leadership as approachable and responsive. A whistleblowing policy was in place, and diversity was valued, with initiatives like menopause champions supporting staff wellbeing.