Altogether Care - Care At Home Limited Salisbury

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The assessment was a fully comprehensive inspection, which looked at all key areas.

We identified some shortfalls with the provider’s governance systems. We identified 1 breach of the legal regulations relating to good governance. We have asked the service to provide us with an action plan to show how they will meet this breach.

Care being delivered on time and inconsistent visits were a concern. This was not identified in the provider’s audits. The provider told us they would look at timing of visits and develop a plan to address this.

Staff had been recruited safely with all pre-employment checks completed prior to them starting. Staff were not receiving supervisions in line with the provider’s policy. People’s risks had been mitigated and well documented. Staff told us leaders and managers supported them well. All staff had completed safeguarding training and expressed confidence any concerns raised would be addressed appropriately by leaders. However, there were some shortfalls with consent records which lacked documentation relating to people’s capacity. Most care plans contained personal preferences regarding how people liked their care to be delivered.

Staff protected people’s privacy and dignity. They treated people as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. However, some staff told us they were expected to work longer hours and every weekend while others had every other weekend off.

Environmental safety was embedded into everyday practice. Staff were trained to identify hazards and escalate concerns promptly, supported by regular competency checks and scenario-based learning. Proactive referrals ensured people’s homes were adapted to meet changing needs. This enabled people to feel safe and respected in their own environment.