During an assessment under our new approach
Date of Assessment: 7 October to 4 November 2025. This assessment was completed to check the quality of the service people receive from Caring Care. The domiciliary care service provides support to people in their own homes across the whole population. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 704 people in receipt of a regulated activity.We assessed the service against ‘Right support, right care, right culture’. This guidance supported judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.
Systems were in place to ensure people had their needs assessed and plans put in place and the provider worked as part of the local system to support people. Where incidents occurred, these were reported to the appropriate body for investigation. Risks to people’s environment were managed safely and staff understood and followed infection prevention control procedures. Staff were recruited safely, had adequate support and there were enough of them to provide support to people effectively. Medicines were administered safely. Staff worked well together and with other agencies and partners were positive about their contribution. People received support to maintain their health and well-being and had regular reviews. Staff were kind and caring and supported people with respect and protected their privacy. People were supported to make choices and remain independent, and staff were responsive to immediate needs. Staff received support in their role, and the registered manager had systems in place to promote staff well-being. Staff knew people well and could describe their individual needs. There were systems to provide information and seek people’s feedback.
The provider had a positive culture with support available to leaders. Some improvements were needed to learning processes to ensure updated risk assessments and care plans were completed when an incident occurred. Risk assessments and management plans were not consistently recorded for all risks identified, action was taken to address this following the inspection, and the provider will ensure these are in place going forward. Improvements were needed to the guidance in place for staff to manage specific conditions this needed to be more specific and relevant to the person’s needs. The mental capacity act was understood, and systems were in place but there were inconsistencies in how this had been applied. Care plans lacked detail about people’s preferences. Some governance systems required improvement to ensure consistent use and identification of areas for improvement.