Maisy Care at Home Ltd

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found the provider was working in line with this guidance.

The provider ensured people were protected from abuse and avoidable harm. The provider embedded a strong, proactive safety culture that prioritised openness, transparency and continuous learning. Staff consistently demonstrated an understanding of risk management, enabling people to take positive risks while remaining safe.

People were fully involved in decisions about their safety, and care plans contained detailed risk assessments tailored to individual needs. Leaders worked collaboratively with healthcare professionals, staff and families to develop person centred support and emergency protocols. This approach empowered people to maintain independence and control over their lives.

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 homes were adapted to meet changing needs, enabling people to feel safe and respected in their own environment.

Staffing was safe and effective. There were enough qualified, skilled and experienced staff to meet people’s needs, and continuity of care was maintained. Recruitment processes were robust, and training was embedded into practice through competency observations and team meetings.

We identified some shortfalls in governance systems, particularly in relation to auditing and some oversight of concerns.