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The assessment took place on 19 November 2025. The service was registered with CQC on 18 January 2022. This was the first assessment of the service. Gary Care Limited is a domiciliary care agency that provides personal care and support to people living in their own homes. At the time of the assessment, 1 person was using the service. We have rated the service good. The service is registered to provide personal care to young and older people including people with a learning disability. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found that the provider was meeting the principles of ‘Right support, right care, right culture.’ People received exceptional care and support. People and relatives gave consistently positive feedback about the service and described significant improvements in wellbeing, safety, and quality of life . Family reported peace of mind and trust in the service. A family member told us, “It’s actually been the best service that we’ve had… honestly, it’s the best thing that could have ever happened for [person].” They described how previous care providers had failed to keep them safe, whereas this service gave them “Peace of mind knowing that he’s safe, happy and being treated properly.” People worked in partnership with the care provider to be innovative and develop plans to meet their needs. The provider had a clear vision in delivering holistic care and using the staff’s skills mix to meet people’s needs. People were supported in a safe and effective manner. Their needs and risks to health and wellbeing were assessed and managed, with care plans detailing the support required. Staff followed guidance and best practice to ensure care was delivered appropriately. Staff were recruited safely, trained, and supported to carry out their roles. Sufficient staff were deployed to meet people’s care needs and support participation in social and leisure activities. People were supported with kindness and compassion. Positive relationships had developed between people and the staff who supported them. People gave consent to care and treatment, and staff supported them to make decisions wherever possible. Staff enjoyed working at the service and reported good teamwork and leadership from the registered manager. People, relatives, staff, and healthcare professionals described the registered manager as approachable and felt the service was well managed. They felt empowered to raise concerns when aspects of care fell below expectations. People were encouraged to provide feedback, and the provider acted on it to develop the service and make improvements. Healthcare professionals were involved and provided guidance to ensure people’s needs were met. Learning and innovation were embedded within the service. Staff used research and reflective practice to improve their understanding of people’s experiences and to design learning materials that addressed identified gaps in knowledge. The provider’s quality assurance systems were effectively deployed to maintain high standards of care and support continuous improvement. People benefitted from the provider’s partnership working with other agencies, ensuring care was delivered in line with best practice.
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