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Date of inspection: 17 February to 24 February 2026. Choices Care Ltd is a domiciliary care agency that provides support to people in their own homes, this included younger adults, older people, people with mental health issues and people with learning disabilities. At the time of inspection 22 people were receiving support with personal care. CQC only assesses support provided to people who receive the regulated activity personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. We assessed the services against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We inspected the service due to its aged rating. We found some improvement was needed around documentation. For example, where responsibility for managing medicines was shared between the provider and family members, records did not clearly show which elements were managed by staff and which were undertaken by the family. We found staff had not consistently completed the full range of training required to support people with complex needs. The provider took immediate action to address this. Leaders and staff had a shared vision and culture based on listening, learning and trust. Staff spoke positively about the support they received from the registered manager. Staff received regular support through supervisions, appraisals and team meetings. People received support from a consistent staff team. Staff understood people’s individual preferences and communication needs and gave examples of adapting communication to meet people’s needs. People were supported by a diverse staff team who understood their cultural and religious needs and were able to converse in people’s preferred language. Staff received safeguarding training and understood their roles in protecting people from the risk of abuse or avoidable harm.
npm run etl:reports -- --location 1-3079423815.Choices Care Ltd received a Good rating across all five key questions at its first CQC inspection on 14 November 2017, demonstrating safe, person-centred care underpinned by robust risk management, effective staff training, and strong leadership. No regulatory breaches or significant failure themes were identified.