Date of Assessment: 23 June to 14 August 2025. KC Care and Social Activities Limited is a domiciliary care service providing care and support to people in their own homes. The Care Quality Commission (CQC) only inspects where people receive personal care. Personal care indicates that a person requires help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Not everyone who used the service received personal care. At the time of our assessment 11 people were receiving personal care. The service is registered to support people of all ages with different health and care needs, including children, people with physical disabilities, autistic people and people with a learning disability. ‘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. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. This assessment was prompted in part due to concerns received about the service. At our last assessment the service was rated good overall. At this assessment the rating has remained good. This inspection covered all quality statements under the key questions Safe, Effective, Caring, Responsive and Well led. During this assessment we found no evidence to indicate people were at risk of harm from the concerns raised. People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Staff worked with partner agencies involved in people’s care for the best outcomes. Staff made sure people understood their care and treatment to enable them to give informed consent. The provider placed a lot of emphasis on safeguarding people and care was based on latest guidance and good practice, and people were supported to stay safe. The service had a culture of learning and people felt confident to raise concerns. There were enough staff to provide care and support to people. The registered manager made sure staff received training and support to maintain high-quality care. People were treated with kindness and compassion. Staff protected people’s privacy and dignity and treated them as individuals and supported their preferences. The provider supported staff wellbeing. People were involved in decisions about their care and staff provided information in a way people could understand. People knew how to give feedback and were confident the provider took their opinions seriously and acted on them. The team promoted positive risk taking, which enabled people they supported the freedom to pursue their own interests and to live their lives as they chose.
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First rated inspection of this domiciliary care agency found the service to be Good in safe, effective, caring and responsive, with people reporting kind, person-centred care from a consistent staff team. Well-led was rated Requires Improvement due to gaps in documentation of audits, lessons learnt and quality monitoring, with a new electronic system being implemented at the time of inspection.
Concerns (6)
moderateGovernance: “there was not always documentary evidence that this had been carried out”
moderateIncident learning: “the registered manager was able to explain to us how they evaluated incidents and learnt lessons, but there was no documented evidence to support this”
moderateInfection control: “we received a concern that the infection prevention and control policy and guidance had not been followed, putting people at potential risk”
moderateRecord keeping: “Although the registered manager carried out lessons learnt these were not always documented to evidence improvements”
minorMedication management: “we identified some documentation needed improving to meet the National Institute for Health and Care Excellence (NICE) guidelines”
minorConsent / capacity: “The documentation in care plans was being reviewed and improved at the time of our inspection. This was to ensure the legal framework for making decisions was followed.”
Strengths
· People felt safe and staff understood safeguarding and whistleblowing procedures
· Sufficient staffing levels with safe recruitment processes
· Staff were extremely kind and caring, treating people with dignity and respect
· Person-centred care with consistent staff who knew people well
· Staff felt very supported by the registered manager and management team
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Learning lessons when things go wrongNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
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effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
caring: Ensuring people are well treated and supported; equality and diversity; Respecting and promoting people's privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Continuous learning and improving care; managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated