Updated 8 December 2025
The assessment was carried out due to an aged rating and took place from 9 December 2025 to 16 January 2026.
Bespoke Care and Support Services is a domiciliary care service providing personal care to people living in their own homes. At the time of our assessment the service was supporting 77 people with the regulated activity of personal care.
We identified 4 breaches of the legal regulations during this assessment. The breaches were in relation to safeguarding, good governance, staffing, and fit and proper persons.
We found although safeguarding concerns were investigated, they were not always escalated to the local authority, and the required statutory notifications were not sent to the Commission. Staff were not up to date with required training and had not always been recruited safely. The governance of the service was not always robust enough to identify the areas for improvement we found during this assessment. The registered manager provided assurance that improvements to some of the issues we found at this assessment would be addressed promptly.
People and their relatives were involved in their care planning, although some care plans lacked risk assessments. Some records required more detail to help guide staff in how to recognise and escalate concerns. People felt safe and told us staff understood and met their needs.
Staff supported people kindly, with dignity and respect. Staff encouraged people to be independent and have choice over their care where they were able to. People and their relatives provided mainly positive feedback about the service, but we identified some concerns around the timing and length of calls. Staff worked in partnership with other professionals to ensure people’s needs were met. The service was not currently supporting anyone with care at the end of their life and had not recorded people’s future wishes.
We have asked the provider for an action plan in response to the concerns found at this assessment.