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HP Homecare St John's Wood is a domiciliary care agency. It provides personal and nursing care to people living in their own homes. The service supports adults with a range of needs, including nursing needs and dementia. At the time of our assessment, 12 people were using the service. The assessment took place on 18 September 2025. This was the first assessment of this service under its current registration with CQC as HP Homecare Limited on 24 June 2022. The service was previously registered under a different legal entity. The last rating for this service was good (published 3 May 2019), with the same leadership, governance, and clinical systems in place throughout. The rating following this assessment is good. The provider had systems to assess and manage risks to keep people safe. Staff supported people to manage their medicines safely and people were cared for by trained nurses. There were sufficient staffing levels. People were supported by familiar care workers and nurses assigned based on personality, experience, and skills. There were robust recruitment procedures, as well as ongoing supervision, and competency checks for staff. This helped ensure they were suitable to deliver care. People were treated with kindness, empathy, and respect. Staff understood and responded to individual preferences, cultural and religious needs, and worked in a person-centred way. Managers created a supportive and inclusive culture. Staff reported open and approachable leadership, where they could raise concerns or suggestions freely. There were suitable governance systems. These included audits, and digital monitoring to help ensure consistency, and quality improvements. The provider encouraged staff to work collaboratively, make autonomous decisions, and maintain high standards while feeling supported. People and their families were able to provide feedback, which the provider acted upon. Staff encouraged people to express their views. The provider ensured good communication with families. There was an appropriate complaints procedure, and concerns were addressed promptly. The service is registered to provide support for autistic people or people with a learning disability. At the time of the assessment, the service was not used by anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
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