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Date of Assessment: 15 December 2025 to 30 January 2026. The service is a care at home service providing support to adults of all ages and children, living with multiple needs. Overall, the service was found to be good. People received safe, effective, responsive and well‑led care, and were treated with kindness, dignity and respect. People were protected from abuse and avoidable harm. Staff understood safeguarding processes, managed risks well and learned from incidents. Medicines were managed safely, infection prevention and control practices reduced the risk of harm, and there were enough suitably skilled and trained staff to meet people’s needs. People received effective care that was based on assessment and review. Staff worked well with health and social care professionals to support people’s wellbeing and continuity of care. Consent was sought appropriately, and staff demonstrated a good understanding of the Mental Capacity Act. People were supported in a compassionate and respectful way. The service recognised people’s individual preferences, culture and communication needs, and people were generally involved in decisions about their care. However, the provider did not always fully record discussions about future planning, such as advance care preferences. This did not affect people’s day‑to‑day care, but recording these discussions more consistently would strengthen assurance that people’s longer‑term wishes are understood and reviewed. The service was well led. Leaders were visible and approachable and promoted an open culture where staff felt confident to raise concerns. Governance systems were in place to monitor quality, learn from incidents and support continuous improvement. Partnerships with external professionals helped ensure people received coordinated care. 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. Staff received training relevant to learning disability and autism, including the Oliver McGowan framework, and demonstrated person‑centred, respectful and trauma‑informed approaches. Governance systems promoted openness, learning and good oversight of risk. Care planning processes showed potential to deliver personalised support, though documentation relating to future planning and people’s longer‑term goals would benefit from being strengthened. Overall, the provider’s culture and ways of working indicate they would be able to deliver care that upholds people’s rights, independence and choice.
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