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Josh’s Care Company is a domiciliary care agency providing personal care and treatment of disease, disorder or injury to people living in their own home. The inspection took place between 21 October and 7 November 2025. CQC only inspects where people are receiving the regulated activity, at the time of this inspection, 38 people were receiving support in line with the regulated activities of personal care and treatment of disease, disorder or injury. The service is registered for use by autistic people and people with a learning disability. We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and outstanding access to local communities that most people take for granted. Right support, right care, right inclusive, innovative culture of continuous improvement is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. This was the first inspection of this location since registration. This planned inspection took place partly due to information of concern received by CQC. We found no evidence of ongoing concern or harm to people. The provider demonstrated exemplary leadership in care management and governance by embedding robust, person-centred policies and procedures that enabled staff to deliver consistently high-quality support to people with complex needs. The provider ensured safe recruitment and development of staff to meet the individual needs of people. The provider was proactively responsive and innovative to improvement opportunities and involved stakeholders in developing the best care for people. Staff understood their responsibilities to help keep people safe and they knew people well. People’s care needs were assessed and planned following best practice. Specialist advice and support was sought where appropriate to meet people’s needs. People knew who their link person was and were happy to speak with anyone in the office. Staff respected people’s rights when delivering person-centred and empowering care and treatment. Any concerns raised by people were resolved by the provider. Feedback from people and care records identified people were treated as individuals; people’s care, support and treatment met people’s needs and preferences. Staff were valued by the provider who promoted their wellbeing. Staff felt confident any issues raised with the provider would be listened to and addressed. The provider developed packages to meet each person’s individual needs. This included staff recruitment, matching and training to ensure people’s full range of needs could be met. The provider developed and delivered bespoke training packages to develop staff knowledge and competence to be able to meet each person’s range of complex needs safely.
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