St Anne's Leeds Domiciliary Care 3 (DCA3)

The assessment was prompted due to the time since the last inspection.

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 service demonstrated a strong safety culture, with effective reporting, learning and risk management. Staff were well trained, confident and worked collaboratively to ensure safe transitions, timely healthcare access and personalised risk‑taking that promoted independence. People lived in well‑maintained environments, medicines were managed safely, and infection control measures were robust. Care was consistently person‑centred, with assessments and plans regularly reviewed, accessible and focused on people’s goals, wellbeing and communication needs. People were supported to live healthier lives, develop new skills, gain employment and make informed decisions, with the Mental Capacity Act applied appropriately.

The culture of the service was compassionate, respectful and inclusive. People and relatives described staff as kind, supportive and responsive, with strong relationships and continuity of care. Staff encouraged independence, choice and control, tailoring support to individual preferences, cultural needs and emotional wellbeing. Leadership was strong and values‑driven, promoting openness, equality and continuous improvement. Governance systems provided clear oversight, and the service worked effectively with external partners. People were listened to, involved in shaping their care and supported to plan for future life changes, including end‑of‑life wishes.