Date of Assessment: 19 January to 5 February 2026. The service is a care at home service registered to provide support to adults, including people who may live with dementia, mental health, learning disability needs or autistic people. An inspection 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 inspection, 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. 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. At this inspection we found the service was meeting the underpinning principles of Right support, Right care, Right culture. The Care Quality Commission regulates the personal care and support that people may receive. At the time of inspection there were 6 people using the service and all of those people were receiving the regulated activity personal care. A registered manager was in place. The registered manager is registered with the Commission and is legally responsible to ensure that the service is compliant with legal and regulatory requirements. The service was flexible and adapted to people's changing needs and desires, enabling positive outcomes for people. Staff knew the care and support needs of people they supported. However, improvements were needed to care records to ensure they accurately reflected care and support needs. People’s mental capacity and ability to consent was taken into account. People and their representatives were involved in planning their care and support. There was clear evidence of collaborative working and communication with other professionals to help meet people's needs. There were enough staff with the necessary skills, qualifications and experience. Staff were safely recruited. People were treated with kindness and compassion. Staff protected their privacy and dignity. Staff received training to maintain high-quality care. Staffing capacity was sufficient and staff deployment was effective to ensure people's needs were met in a safe, timely and consistent way. Systems were in place for people to receive their medicines in a safe way. People, relatives and staff were confident about approaching the registered managers if they needed to. They recognised that their views and feedback were valued and respected and consistently used to support quality service development.Strong processes were in place to manage and respond to complaints and concerns. Systems were in place to monitor the quality and safety of the service. However, some improvements were identified to record keeping.
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My Home Care Ltd achieved a Good rating across all five key questions at its first CQC inspection in June–August 2018, with strong person-centred care, effective governance and highly positive feedback from people and relatives. Minor recruitment process improvements were advised regarding independent references and panel interviews, which the registered manager agreed to address.
Concerns (2)
minorOther: “We discussed with the registered manager that references should be obtained from suitable people independent of the prospective employer.”
minorOther: “We advised at least two members of staff should be involved in face-to-face interviews to ensure a fair process was followed.”
Strengths
· People and relatives consistently praised the kind, caring and compassionate approach of staff, describing them as 'absolutely fantastic' and 'like extended family'.
· Comprehensive and person-centred care plans were in place, reflecting individuals' preferences, communication needs, cultural background and goals for independence.
· Robust medicines management with staff training, periodic competency checks and management audits ensuring safe administration.
· Staff received regular supervision approximately every eight weeks, appraisals, and ongoing training including Care Certificate and health and social care diplomas (over 70% at Level 2).
· Strong governance framework with monthly, quarterly and annual audits covering health and safety, complaints, safeguarding, infection control, training and medicines.
My Home Care Ltd, a small domiciliary care agency supporting eight people in Gateshead, was rated Good overall across all three inspected key questions following an unannounced inspection in April 2019. Minor recording shortfalls around MAR chart counter-signatures and risk assessment documentation were identified and promptly remedied by the provider during the inspection process.
Concerns (2)
minorRecord keeping: “Staff had checked and documented on the MAR charts people's topical medicines...two staff members were required to sign the MAR to ensure the entry was correct.”
minorCare planning: “Staff knew more about people's risks than was documented. The provider and the registered manager agreed to improve the risks assessments to capture the knowledge held by staff.”
Strengths
· People and relatives valued the service's flexibility in responding to changing needs and respected choices and preferences.
· Staff arrived on time, stayed for the required duration, and people did not feel rushed between calls.
· Safe recruitment practices with pre-employment checks carried out before staff began working.
· Staff supported people to access healthcare appointments and implemented medical advice.
· Quality surveys returned very complimentary responses about the service.
Quality-Statement breakdown (16)
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: Working with health care professionals
Good
caring: Dignity, respect and compassionate careGood
caring: Person-centred involvement in care decisionsGood
caring: Cultural and spiritual awarenessGood
responsive: Person-centred care planningGood
responsive: Complaints handlingGood
responsive: Community engagement and social inclusionGood
well-led: Registered manager oversight and CQC complianceGood
well-led: Quality assurance and auditGood
well-led: Staff culture and leadershipGood
effective: Adapting service, design, decoration to meet people's needsGood
effective: Supporting people to live healthier lives and access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Planning and promoting person-centred, high-quality care with openness and duty of candourGood
well-led: Managers and staff being clear about their roles and understanding quality performance and risksGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood