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Date of assessment: 12 to 16 September 2025. Better Vision Care Ltd is a Domiciliary Care Agency, providing support and personal care to people in their own homes. Staff supported older people and younger adults, with different health needs. At the time of our assessment 18 people were receiving support from the service, not everyone using the service received personal care. CQC only assesses and inspects where people receive personal care. At the time of our assessment 2 people using the service received personal care. An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. Medicines were not always safely managed. We found medicines records containing several gaps and a lack of protocols in place for ‘as required’ medicines. The provider is in breach of regulations in relation to managing medicines safely. Most care records were up to date and contained enough guidance, risk assessments and information. However, we found 1 record which did not detail enough information about a person’s pressure care. This was brought to the attention of the registered manager during our assessment and rectified. People were safeguarded from the risk of abuse. People were protected from the risk of infection and people’s home environments were kept safe, clean and tidy. Staff were recruited safely, appropriately trained and people were supported by enough staff. People had their needs assessed, and peoples care records contained information relating to their needs, wishes, religious and cultural needs. People were supported by external professionals and records evidenced staff liaised with professionals, including emergency services, where required. People had consented to their care, where people lacked capacity, appropriate assessments were completed, alongside best interest decisions. The provider listened to people and were responsive. People told us they knew how to make a complaint and this would be actioned and resolved. People were supported to access the community and to keep in touch with friends and family. Some improvements were required to auditing systems, to ensure the provider could recognise concerns relating to medicines management and take action to address this. The provider was in breach of regulations in relation to governance. We were assured following our assessment, action would be taken to ensure medicines records evidenced people were receiving their medicines as prescribed. Staff felt supported in their roles and told us the management team were approachable. People had opportunities to feedback about their care and support. The service has been rated requires improvement overall.
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