Peartreelifecare Limited

Date of assessment: 18 March to 1 April 2026. The service is a domiciliary care service providing personal care support to people living in their own homes. At the time of this assessment, 54 people were being supported with the regulated activity of personal care.
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. We found the provider did not always uphold these principles.
People told us they generally felt safe and supported by staff who knew them well, and we observed positive, respectful interactions. Staff demonstrated good knowledge of safeguarding and risk management, and appropriate systems were in place for infection prevention, medicines management and clinical oversight, including specialist training for complex needs. However, some systems required improvement, including the recording of safeguarding outcomes, environmental risk assessments and aspects of medicines administration.
Care was mostly effective and person-centred, with evidence of multi disciplinary working and people being supported to access healthcare. Staff understood people’s communication needs and consent was consistently sought. We received mixed feedback about how consistently people and relatives were involved in care planning and reviews, and records did not always reflect people’s aspirations or longer term planning. People described caring and compassionate staff who treated them with dignity and supported independence, although feedback highlighted inconsistencies in continuity of staff, communication about rota changes and responsiveness to feedback. Leaders were visible and approachable, and staff spoke positively about support and wellbeing. Governance systems were in place and leaders were responsive during the assessment, updating action plans and strengthening audit processes; however, oversight had not identified all the issues found during this inspection.
We found breaches of legal regulations in relation to good governance. We have asked the provider for an action plan in response to the concerns found during this assessment.