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Date of Assessment: 7 February 2026 to 11 February 2026. This inspection was completed remotely. There was a registered manager in post at the time of inspection. The service is a care at home service providing support to adults with physical and sensory disabilities and dementia. At the time of our inspection 47 people were in receipt of the regulated activity personal care.The Care Quality Commission (CQC) regulates the personal care and support that people may receive. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Care staff knew people well and supported them with dignity, compassion and patience. The provider had effective systems to keep people safe. Safeguarding concerns were reported promptly and worked through with the local authority. Internal investigations were completed where needed, and actions were taken to reduce the risk of re‑occurrence. People told us they felt safe with staff, and relatives spoke highly of the provider’s responsiveness and communication. Medicines were managed safely, with audits showing administration was accurate and aligned to people’s needs. Where digital records were incomplete, managers followed up quickly and there was no evidence of harm. People experienced care that was personalised and responsive to their changing needs. Care plans were detailed, person‑centred and reflected people’s preferences, strengths and goals. For people with complex needs, such as neurological conditions, brain injury or significant physical disabilities, risk assessments were thorough and regularly reviewed. Staff understood how to support people safely, including for needs such as hoisting, mobility, dysphagia, (swallowing difficulties) and catheter care. People were supported to maintain independence wherever possible. Staffing levels were safe and well managed. People and staff told us rotas were stable and communication from the office was good. Visit punctuality was monitored daily and there were no missed visits. Travel time gaps were identified within rota patterns and managers were reviewing these to ensure consistency and fairness for both staff and people. Leadership was visible, approachable and focused on improving outcomes. Staff told us they felt supported, valued and confident to raise concerns. A clear culture of learning was evident through regular audits, a comprehensive quality improvement plan and reflective actions following incidents. The provider had strong links with the local community, supporting groups and initiatives that benefitted people’s wellbeing and reduced isolation. The service demonstrated a positive, caring culture, strong safeguarding practice and a clear commitment to person‑centred care.
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