Date of assessment: 9 December 2025 – 11 December 2025. Ranger Home Care is a domiciliary care agency that provides personal care to people in their own homes. People who receive a service include older people, and younger adults. At the time of our inspection the service provided personal care to 73 people. This assessment was in response to CQC receiving information of concern. The service was in breach of 5 legal regulations in relation to safe care and treatment, safeguarding, consent, fit and proper persons employed, and governance. The principles of The Mental Capacity Act 2005 were not always followed. Medicines were not always managed safely, which placed people at risk of not receiving these as prescribed. Staff had not always received appropriate training relevant to people’s individual needs. The systems in place to monitor and improve the service were not effective and the audits in place had not identified areas of concern. Care plans were in place to help instruct staff on how to provide care for people; however, these lacked detail in certain areas. Some care plans did not hold all the required information regarding people’s health concerns, and not all had the correct risk assessments or information to ensure people’s safety. The registered manager explained that some information was held on another separate software, however due to this, we could not be assured that all staff had access to all necessary information to help promote people’s safe care. Staff told us they were happy working for the company and felt supported by the management team. Staff were provided with appropriate personal protective equipment (PPE) to minimise the risk of infection spreading. Staff supported people to access services in the community when needed. Relatives told us staff were kind, gentle and engaging. Care plans contained detailed information about people’s likes and preferences and people were supported with activities and exercise according to their individual needs and choices. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
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Ranger Home Care - Main Office is a Good-rated domiciliary live-in care agency with an Outstanding rating for Caring, recognised for its exceptional person-centred approach, creative problem-solving to keep people in their own homes, and highly motivated staff. No regulatory breaches or failure themes were identified at this inspection.
Strengths
· Staff used innovative communication aids and adapted techniques to give non-verbal people a voice in their own care.
· Provider creatively resolved barriers to care, including arranging accessible shower facilities at a nursing home to prevent a residential placement.
· Strong person-centred culture with staff matching people by shared interests and building trust gradually with reluctant service users.
· Provider championed independence, including enabling a person to visit their local pub safely using GPS, taxi relationships, and pub staff collaboration.
· Effective electronic care planning system with real-time monitoring of medicine administration and care task completion.
Quality-Statement breakdown (26)
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
Ranger Home Care Ltd received a Good rating across all five key questions at its first CQC inspection in October 2018, demonstrating safe, personalised live-in care for 19 people. The only minor concern noted was that some people were unclear about the complaints process, which the registered manager committed to address.
Concerns (1)
minorComplaints handling: “some people had not read their welcome pack and were slightly confused as to how to complain”
Strengths
· Staff developed positive and trusting relationships with people, enabling them to remain safely at home
· Medicines managed safely with no unaccounted-for gaps in MAR charts and regular staff competency checks
· Comprehensive induction and training programme mapped to Care Certificate standards, including specialist training for individual needs
· Person-centred care plans created with people's full involvement and updated promptly when needs changed
· Registered manager fostered an open, transparent culture with staff feeling well supported and able to raise concerns
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: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Supporting people to express their views and be involved in making decisions about their careOutstanding
caring: Ensuring people are well treated and supported; respecting equality and diversityOutstanding
caring: Respecting and promoting people's privacy, dignity and independenceOutstanding
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: Supporting people to develop and maintain relationships to avoid social isolationGood
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