Date of assessment: 16 to 20 March 2026. Allura Care Ltd is a care agency providing personal care to people living in their own homes. The service is registered to care for older and younger adults including people with a learning disability. At the time of our assessment, 29 people were receiving support with personal care. The last rating for this service was requires improvement (Published 22 March 2023). At the last assessment, we identified breaches of legal regulations relating to person-centred care and good governance. At this assessment, we found the provider was no longer breaching legal regulations. The new rating for this service is good. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider was meeting the principles of Right support, right care, right culture. However, some staff needed to complete additional training to ensure they had the skills to support people with a learning disability. We discussed this with the registered manager who explained they had a schedule for staff to complete this training. People received safe care. Staff assessed risks to their safety and wellbeing. People were supported to be independent and take risks when they wanted, and this was safe to do so. The provider supported people to have safe transitions between services. There were enough staff. Staff arrived on time and provided good quality care. The provider assessed and planned for people’s needs. People and their relatives were involved in assessments and reviews of care. Staff monitored people’s wellbeing and reported concerns to external healthcare partners when needed. People consented to their care and treatment. Staff were kind, polite and had good relationships with people. Staff felt supported and enjoyed working for the agency. The provider ensured people had information about their care. Staff understood how each person communicated and provided information and choices in ways people could understand. People’s rights and individuality were respected. The provider worked well with others to ensure they followed best practice. There were effective systems for monitoring and improving the quality of the service. The provider responded to accidents, incidents and things that went wrong. They supported staff to learn from these.
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Allura Care Ltd remains rated Requires Improvement overall following a focused inspection in March 2023, with continued breaches of Regulation 9 (person-centred care) and Regulation 17 (good governance) due to incomplete care plans and ineffective audit systems. The service achieved Good for safety, demonstrating improvements in medicines management and maintaining consistent, trusted staffing arrangements.
Concerns (7)
criticalCare planning: “people's care plans were not always up to date, sufficiently personalised or reflective of the care and support people received”
criticalPerson-centred care: “Care plans did not always reflect people's likes, dislikes and preferences for their care and support.”
criticalRecord keeping: “the registered manager had not made sure other records were maintained as accurate, timely and complete”
criticalGovernance: “checks had failed to identify and address that people's care plans were not always up to date or reflected their current care provisions”
moderateEnd-of-life care: “There were not always appropriate end of life care plans in place... the person's care plan did not make reference to this or set out the person's wishes”
minorSupervision / appraisal: “staffing records indicated these did not always take place regularly throughout the year”
minorIncident learning: “an incident when a person's home utilities failed had warranted recording... they recognised this should have been recorded appropriately”
Strengths
· Relatives spoke positively about care quality and staff conduct, with one noting staff 'have real affection' for their family member
· Medicines management improved since last inspection; provider no longer in breach of Regulation 12
· Effective safeguarding processes in place; staff trained and confident in recognising and reporting abuse