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Date of assessment: 10 February to 25 February 2026. Closer Care Services – Main Office is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to adults of all ages and people who are living with dementia, and physical disabilities. The provider’s registration contained a condition which stated they were not to deliver care to any person with their primary care need being as a result of a learning disability or autism. However, we found the provider to be delivering care to people who had a learning disability as their primary reason for requiring care and support. These people have now been moved to alternative care providers. Not everyone using Closer Care Services – Main Office received a regulated activity. CQC only inspect where people are provided with 'personal care'; help with tasks related to personal hygiene and eating. At the time of our inspection 16 people were supported by the provider. This was the provider’s first inspection since they registered. We announced the inspection 48 hours before we visited to ensure there would be someone available at the office to support the assessment. We found 2 breaches of the legal regulations in relation to safe care and treatment and good governance. Care plans did not always contain clear, detailed written guidance to support staff in managing people’s health conditions effectively. Medicines were not always managed safely, and incidents and accidents were not always fully reviewed. The Mental Capacity Act (2005) was not consistently followed, as decision capacity assessments were not always completed for individuals assessed as lacking capacity. Staff had not always been recruited safely, and couldn’t always demonstrate they had the required knowledge of all aspects of safe care delivery. Governance systems were ineffective and did not provide sufficient oversight of the service. However, there were enough staff to ensure people received their scheduled care calls and staff stayed for the allocated time. People were treated with kindness and respect, and although written guidance was sometimes missing, staff and the registered manager demonstrated a good understanding of the people they supported.
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