Date of Assessment: 7 October to 4 November 2025. This assessment was completed to check the quality of the service people receive from Caring Care. The domiciliary care service provides support to people in their own homes across the whole population. Not everyone supported by this service received the regulated activity of personal care. This assessment looked at people’s personal care and support. At the time of our assessment there were 704 people in receipt of a regulated activity.We assessed the service against ‘Right support, right care, right culture’. This guidance supported judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted. Systems were in place to ensure people had their needs assessed and plans put in place and the provider worked as part of the local system to support people. Where incidents occurred, these were reported to the appropriate body for investigation. Risks to people’s environment were managed safely and staff understood and followed infection prevention control procedures. Staff were recruited safely, had adequate support and there were enough of them to provide support to people effectively. Medicines were administered safely. Staff worked well together and with other agencies and partners were positive about their contribution. People received support to maintain their health and well-being and had regular reviews. Staff were kind and caring and supported people with respect and protected their privacy. People were supported to make choices and remain independent, and staff were responsive to immediate needs. Staff received support in their role, and the registered manager had systems in place to promote staff well-being. Staff knew people well and could describe their individual needs. There were systems to provide information and seek people’s feedback. The provider had a positive culture with support available to leaders. Some improvements were needed to learning processes to ensure updated risk assessments and care plans were completed when an incident occurred. Risk assessments and management plans were not consistently recorded for all risks identified, action was taken to address this following the inspection, and the provider will ensure these are in place going forward. Improvements were needed to the guidance in place for staff to manage specific conditions this needed to be more specific and relevant to the person’s needs. The mental capacity act was understood, and systems were in place but there were inconsistencies in how this had been applied. Care plans lacked detail about people’s preferences. Some governance systems required improvement to ensure consistent use and identification of areas for improvement.
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Date of assessment 9 April 2024 until 15 April 2024. Caring Care Limited is a care agency that provides personal care to people living in their own homes. At the time of this assessment everyone who used the service received the regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of this inspection 552 people were receiving support with personal care. We completed this assessment following receipt of information of concern from the local authority and several safeguarding notifications. Caring Care Limited support a variety of people such as older people and people with a diagnosis of dementia. We found safe systems in place to ensure people were protected from potential harm. There were sufficient staffing levels to ensure people's care and support was delivered safely. People were respected and valued as individuals, were involved in their care and asked to provide regular feedback about their care.
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Caring Care Limited is a domiciliary care service rated Good overall, with a Requires Improvement rating for Safe due to insufficiently detailed care plans, non-person-centred risk assessments, and gaps in PRN medication protocols. The provider had already identified and begun addressing these shortfalls prior to inspection, and all other key questions remained Good.
Concerns (5)
moderateCare planning: “Risks to people's health and wellbeing were not always assessed and documented. This meant key information about how to mitigate these risks was not always available to staff.”
moderateCare planning: “Care plans for people with diabetes were not person-centred...didn't inform staff of each person's individual needs. This increased the risk of people's diabetes not being managed correctly.”
moderateMedication management: “Protocols were not always in place to guide staff about when to administer 'as and when required' (PRN) medications...posed an increased risk that medicines could be administered incorrectly.”
moderateRecord keeping: “Care plans did not always contain details to guide staff about people's health needs...care plans were not in place to inform about people who took medicine that thinned their blood.”
moderateGovernance: “Governance systems had not been effective in ensuring risks to people had been robustly assessed, documented and mitigated. This put people at risk of potential harm.”
Strengths
· People and relatives felt the service was safe and carers had the skills and training to provide consistent support.
· Staff had been recruited safely with appropriate pre-employment checks including DBS checks.
· Staff received safeguarding training and understood how to escalate concerns; procedures were followed when required.
· People were protected from the spread of infection; carers used PPE and maintained good hand hygiene.
· Provider had already identified care plan and risk assessment shortfalls prior to inspection and was taking steps to address them.
Quality-Statement breakdown (15)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff support: induction, training, skills and experienceGood
Caring Care Limited was rated Good overall following its first inspection at this location in September 2016, with strong person-centred care, well-trained staff, and positive feedback from people and relatives. The Well-Led domain was rated Requires Improvement due to failures in CQC safeguarding notifications, ineffective audit systems, and no centralised process for analysing incidents and trends.
Concerns (7)
criticalSafeguarding: “The registered managers had not notified us about some safeguarding events that they were required to.”
moderateGovernance: “these audits had failed to identify that in some instances care records needed to be improved...one medication record failed to record why medication had not been administered”
moderateIncident learning: “no effective system in place to analyse trends and patterns to enable lessons to be learnt...Incidents, including late calls were recorded in several different places”
moderateRecord keeping: “care plans did not always detail people's health care needs...risk assessments for using the hoist lacked some essential details”
minorCommunication with families: “they were not always informed when staff were going to be late or if a different staff was coming. One relative told us, 'When there's a new carer, you don't always know they're coming.'”
minorMedication management: “One medication had not been administered and staff had not used the code on the MAR chart to record the reason for this.”
minorComplaints handling: “the complaints procedure lacked details of all of the agencies people could contact if they remained unsatisfied with the provider's investigation”
Strengths
· People felt safe and trusted staff, with relatives expressing reassurance about consistent, high-quality care
· Sufficient trained staff in post; registered managers did not take on new service users until adequate staffing was in place
· Staff received regular training including dementia and end of life care, and were supported to complete the Care Certificate
· Staff received formal supervision, annual appraisals, and had access to an on-call service
· People were treated with dignity and respect; cultural, religious, and language needs were proactively accommodated
Quality-Statement breakdown (14)
safe: People told us that they felt the support provided by the service was safeGood
safe: Staff demonstrated awareness of safeguarding and how to report abuseGood
safe: Medication administration records mostly completed correctly with one exception notedGood
effective: Staff received induction, Care Certificate support, regular training and supervisionGood
effective: Registered managers understood MCA and DoLS; staff sought consent before providing careGood
effective: Staff supported people to access other health and social care professionals when neededGood
caring: People and relatives reported staff were kind, caring and built close relationshipsGood
Caring Care Limited, a domiciliary care agency serving 193 people in Walsall, retained its Good rating across all five key questions following a comprehensive inspection in May 2018. The service demonstrated strong person-centred care, robust governance, and a committed staff culture with no regulatory breaches identified.
Strengths
· People felt safe and staff demonstrated clear understanding of safeguarding responsibilities
· Risks were comprehensively assessed, monitored and managed with regular reviews
· Sufficient staffing levels maintained with computerised call monitoring to address late calls
· Safe recruitment procedures including DBS and reference checks
· Medicines administered as prescribed with accurate records kept
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood
caring: People's dignity, privacy, and cultural and religious needs were respected
Good
responsive: Care plans were personalised and developed with involvement of people and relativesGood
responsive: Complaints were investigated and responded to; minor concerns tracking needed improvementGood
well-led: Audits failed to identify gaps in care records, medication records and risk assessmentsRequires improvement
well-led: No central system to analyse trends in accidents, incidents and late callsRequires improvement
well-led: Provider failed to notify CQC of required safeguarding eventsRequires improvement
well-led: Staff described an open, supportive culture with responsive managers and achievement recognitionGood