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Date of assessment 12 February to 06 March 2026. Eyam Domiciliary Service Ltd (also known as EDS Homecare) is a domiciliary care agency providing personal care to adults of all ages in their own homes. At the time of our assessment, 124 people were receiving the regulated activity of personal care. This was a planned inspection due to an aged rating. Eyam Domiciliary Service Ltd was previously registered with CQC at a different address, where they were inspected and rated as Good in September 2018. This report relates to the first inspection at this current address. People lived in their home environments which were well monitored, risks were understood, and the provider took appropriate and timely action to ensure safety was maintained. Systems were effective, learning was embedded, and staff practice consistently supported people in a safe, responsive and well managed way. From first contact, the provider had clear processes to ensure care was planned with people, their relatives and professionals. Records showed a consistent, well‑organised approach that supported excellent continuity of care. When people were admitted to hospital, the provider worked proactively with clinical teams to maintain seamless support. This ensured people received safe, appropriate care that continued to reflect their needs and preferences. The provider demonstrated an exceptionally strong commitment to listening to people and involving them in every aspect of their care. Leaders actively promoted open conversations, particularly around funding choices such as Direct Payments, ensuring people retained control over how their care was arranged. They also advocated strongly when people faced barriers or misinformation from external teams, helping protect people’s autonomy and reduce distress. Overall, the provider took meaningful steps to ensure fair access to services, respected individual preferences and delivered responsive support to meet people’s needs. The provider demonstrated capable, compassionate and inclusive leadership, creating a positive culture where staff felt supported, people felt listened to, and the provider continually worked to deliver good quality care. The provider created a highly open and supportive culture where staff felt safe to raise concerns. Smaller mentor groups and personalised matching enabled trusted, honest conversations, and new staff received structured support that encouraged early confidence to speak up. Staff described the registered manager as approachable, visible and genuinely committed to their wellbeing, fostering a culture where concerns were welcomed and continuous improvement was encouraged. Staff and leaders knew people well and responded quickly when health needs changed, seeking advice from healthcare professionals and helping to prevent avoidable hospital admissions. Professionals spoke highly of the provider, describing the team as communicative, thorough and proactive, particularly when participating in work at short notice. All the feedback we received from professionals was positive. One healthcare professional told us, “Caregivers go above and beyond for their clients, aiming to provide the best possible care. Their standard of care is high, and most are willing to go the extra mile to ensure their clients are safe and their needs are met”.
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