Date of assessment: 29 October to 6 November 2025. Care Quality Services Brighton and Hove is a domiciliary care agency providing personal care to people living in their own homes. CQC only inspects where people are receiving the regulated activity personal care. This is help with tasks related to personal hygiene and eating. At the time of this inspection 115 people were receiving support with personal care. This assessment was undertaken due to the age of the services rating. We had also received some information of concern regarding the cleanliness of people’s properties and their needs not being robustly met, especially around continence care. We did not find any evidence of poor practice during this assessment. People were supported by staff who knew them well. People’s care plans were person centred to reflect their needs and wishes. Regular care reviews were undertaken and relatives involved in this process where appropriate. Risks were robustly managed using innovative technology to assist with this. Staff received training that was relevant to their roles and told us they felt this was sufficient to complete their jobs to a high standard. There were enough staff to ensure people’s needs were met and people had continuity in care. Staff spoke passionately about working for Care Quality Services and told us they enjoyed their jobs. Staff felt supported by the management team. Staff and the management team had good relationships with external health and social professionals and shared information appropriately. Governance at the service was robust. Records were continually reviewed and updated, with some auditing completed on a daily basis. Staff practice was frequently observed, and this was used to drive improvement and celebrate positive practice. The provider had a range of staff initiatives to keep staff thriving to deliver good quality care.
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Allied Health-Services Brighton and Hove, a domiciliary care agency supporting 60 people, was rated Good across all five key questions at its first inspection under this registration in January 2020. The service demonstrated consistent person-centred care, safe staffing and medicines management, strong leadership, and effective quality assurance systems with no areas requiring improvement identified.
Strengths
· People felt safe and staff demonstrated strong safeguarding awareness with clear knowledge of abuse types and reporting procedures.
· Detailed, up-to-date risk assessments covered environmental, equipment and personal risks with clear staff guidance.
· Medicines managed safely with trained staff, risk assessments, MAR audits and investigation of errors.
· People received care from a consistent, regular staff team who knew them well and arrived on time.
· Person-centred care plans developed with involvement of people and families, covering preferences, religious beliefs and daily routines.
Quality-Statement breakdown (26)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Supporting people to eat and drink enough with choice in a balanced dietGood
effective: Staff skills, knowledge and experienceGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Ensuring people are well treated and supported; equality and diversityGood
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff are clear about their roles, and understand quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Working in partnership with othersGood
well-led: Continuous learning and improving careGood
well-led: How the provider understands and acts on the duty of candourGood