The assessment was carried out between 16 February 2026 and 9 March 2026. The assessment was carried out due to the length of time since the last rating was published. People received a good standard of care from a staff team who knew them well and were committed to supporting them safely and respectfully. The service demonstrated positive outcomes for people, and staff promoted people’s independence and wellbeing. People and relatives told us they felt supported and had confidence in the staff caring for them. People told us about warm, compassionate interactions and a focus on supporting people to lead meaningful lives. The service demonstrated a commitment to the principles of Right support, right care, right culture by promoting people’s independence, protecting their rights and enabling them to lead meaningful, inclusive lives. Staff knew people well and supported them in ways that maximised choice, control and autonomy. People were encouraged to participate in their communities and maintain relationships that mattered to them. However, although the quality of day-to-day care was good, some shortfalls in record keeping and care planning meant the provider could not always demonstrate that people consistently received care in line with legal requirements and best practice. Where people may have lacked capacity to make certain decisions, the available documentation did not always show that decisions had been made or reviewed in accordance with the Mental Capacity Act 2005. Records did not consistently identify the decision in question, the assessment of capacity, or evidence that decisions were made in the person’s best interests. We also found that guidance for staff on the use of “as required” (PRN) medicines required improvement. There were no protocols detailing when PRN medicines should be offered, the symptoms staff should look for, and any nonmedicinal strategies to try first. This increased the risk of medicines being used inconsistently. Care plans were generally informative but could be strengthened by including more individualised and person-centred detail. Some plans did not fully reflect people’s preferences, communication needs or what mattered most to them, meaning staff did not always have clear guidance on how to deliver highly personalised support. Where there were barriers to people understanding written care plans, there was no evidence that information had been provided in a format that was accessible to people. Despite these issues, the service remained Good because staff practice, people’s experiences, and the culture of the service were positive. The provider was responsive during the assessment and began taking steps to address the concerns raised. Continued improvement in record keeping, PRN guidance and person-centred planning will help ensure the service can fully evidence the good care being delivered.
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Active Support Service Ltd received a Good rating across all five key questions at its December 2016 inspection, with 14 people receiving personal care. The service demonstrated strong person-centred values, safe recruitment and medicines management, well-supported staff, and effective quality monitoring by an involved provider-manager.
Strengths
· Provider was also registered manager, closely involved in day-to-day running and routine monitoring of care quality
· Safe recruitment practices including DBS checks and involvement of people using the service in interviews
· Medicines management systems in place with staff competency assessed prior to administration responsibilities
· Staff received comprehensive induction, mandatory training, shadow shifts, and regular supervision
· Consistent staffing teams fostered positive relationships with people and their families
Active Support Service Ltd, a small domiciliary care agency in Kettering serving 12 people, was rated Good across all five key questions at its August 2019 inspection, maintaining its previous Good rating from 2017. The service demonstrated safe, personalised care delivery, a strong supportive staff culture, effective governance and quality assurance systems, and consistently positive feedback from people and their relatives.
Strengths
· People and relatives consistently praised staff as kind, respectful and excellent, with one person stating 'The staff have been excellent. I don't know what I would do without them.'
· Safe recruitment practices with checklists on all staff files ensuring correct documentation was collected before employment.
· Medication administration records (MAR) completed accurately and staff trained in medicine administration including as-required medicines.
· Care plans were highly personalised, documenting interests, hobbies, personal history, preferred names, favourite foods and communication needs.
· Strong staff support culture with regular supervision, induction, ongoing training including NVQ opportunities, and team meetings for learning.
Quality-Statement breakdown (24)
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 staffGood
well-led: Continuous learning and improving careGood