Date of assessment 19 June 2025 to 24 July 2025. This inspection was prompted due to concerns received about modern-day slavery. As a result, we undertook an inspection looking at 5 quality statements under the safe and well-led key questions. An 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 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. There were systems to ensure people were safeguarded from abuse and staff understood how to safeguard people. The service followed the Right Support, Right Care, Right Culture guidance, such as by empowering people to understand their rights, providing an appropriate level of staff training, and ensuring community inclusion. Staff were recruited safely and had completed a wide range of training relevant to their role. During the inspection we could not find evidence of modern-day slavery. Staff felt able to raise any concerns and felt they would be listened to. There were processes to support staff speaking up, including anonymous reporting. Staff felt supported in their role, and there was evidence of management supporting staff, such as driving staff to care visits. Staff were clear about their roles and responsibilities. However, we found policies did not always contain up to date information. Additionally, during the inspection, documents were not always readily available once requested.
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Golden Hope Care Ltd, a small domiciliary care agency in Swindon, received a Good rating across all five key questions at its first CQC inspection in February 2023. The service demonstrated safe, person-centred care for its single personal care recipient, with strong staff knowledge, robust risk assessments, and an engaged registered manager committed to quality improvement.
Strengths
· Staff demonstrated clear safeguarding knowledge and willingness to report concerns without hesitation
· Risk assessments were comprehensive, covering mobility, falls, eating/drinking and environment with clear staff guidance
· No missed visits reported; relative confirmed staff punctual and sometimes stayed longer than allocated visit time
· Care plans were person-centred, developed with the person and their relative, and reflected individual preferences and routines
· Staff received induction linked to the Care Certificate, ongoing training, supervision and spot checks
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End-of-life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving care; Working in partnership with othersGood