Rated Care Homes

St Elizabeth's Domiciliary Care Agency

G

Good

Rated on

Rating from the Care Quality Commission.

At a glance

  • 5 ratings

    Its last inspection improved it from Requires improvement to Good.

  • 15 months

    since the latest rating was published.

  • 151 of 188

    rated home care services in Hertfordshire are rated Good, like this one.

St Elizabeth's Domiciliary Care Agency: inspection record

Home care, Hertfordshire

Rated Good in July 2025, up from Requires improvement.

St Elizabeth's Domiciliary Care Agency: inspection record: inspection ratings by year, 2015 to 2026
201520162017201820192020202120222023202420252026
Overall
Safe
Effective
Caring
Responsive
Well-led

Ratings published by the Care Quality Commission.

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What inspectors found

From the Care Quality Commission's assessment published 9 July 2025 (assessment visit 8 May 2025). Quoted under the Open Government Licence.

Date of assessment: 29 May to 16 June 2025.

We undertook an inspection of St Elizabeth’s Domiciliary Care Agency on 29 May 2025, 5 June 2025, and 9th June 2025. At our last inspection, the service was rated as requires improvement (Published 10 January 2023).

  • Safe Good
  • Effective Good
  • Caring Good
  • Responsive Good
  • Well-led Good
Read the rest of CQC's summary

This was the first inspection carried out under our single assessment framework and was unannounced. This inspection was prompted by a review of the information we held about the service and intelligence.

St Elizabeth Domiciliary Care Agency provides personal care for people in their own homes. The service supported people with a learning disability and autistic people. At the time of our inspection there were 25 people being supported with the regulated activity of personal care.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. The service met this guidance.

We spoke with 10 staff members. This included support workers, managers and senior leaders. We spoke with 2 professionals that supported the people living at the service.

People felt safe and were supported by staff who understood their individual needs. Risk assessments were person-centred and regularly reviewed. Safeguarding procedures were well understood and followed. Staff were well-trained and worked collaboratively with health and social care professionals. People were supported to make informed choices and maintain their health and wellbeing.

People were treated with kindness and respect. Staff built trusting relationships and supported people in a way that promoted dignity and emotional wellbeing.

Support was tailored to each person’s preferences and regularly reviewed. People were encouraged to pursue interests and maintain important relationships. Feedback was welcomed and acted upon.

People and staff felt listened to and involved. The service had a positive and inclusive culture. Leadership was visible and approachable, and quality assurance systems were in place to monitor and improve care.

The provider was previously in breach of the legal regulation in relation to safe care and treatment, person centred care and good governance. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

  1. Safe

    Good

    Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people were safe and protected from avoidable harm.

    At our last inspection the provider had failed to robustly assess the risks relating to the health safety and welfare of people. This was a breach of regulation 12(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Enough improvement had been made at this inspection and the provider was not in breach of regulation 12.

  2. Effective

    Good

    Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

    At our last assessment we rated this key question inadequate. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

    At our last inspection the provider had failed to ensure people received support that gave choice and control to their lives. This was a breach of regulation 9 (person centred care) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Improvement had been made at this inspection and the provider was not in breach of regulation 9.

  3. Caring

    Good

    Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

    At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

  4. Responsive

    Good

    Responsive – this means we looked for evidence that the provider met people’s needs.

    At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s needs were met through good organisation and delivery.

  5. Well-led

    Good

    Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

    At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

    At our last inspection the provider had failed to ensure governance systems were robust to demonstrate the service was well managed. This was a breach of regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Improvement had been made at this inspection and the provider was not in breach of regulation 17.

Questions to ask the service

  1. Ask to see the most recent Care Quality Commission (CQC) report and what the service did about any points in it.
  2. Ask how visit times are agreed and who covers when your usual carer is away.

Registration details

Registered manager
Eleanor Willmott
Registered with the CQC since
What it provides
Domiciliary care service
Who it supports
Dementia, Learning disabilities or autistic spectrum disorder, Older People, Physical Disability, Sensory Impairment, Younger Adults

Inspection report

Read the full inspection report (opens the Care Quality Commission website)

4 inspection reports, latest 11 January 2023. Latest assessment published 9 July 2025; the Care Quality Commission's newer assessments are published on its website rather than as reports.

The rating is the Care Quality Commission's. We show it as published and do not change it.

Who runs it

Ownership type
Organisation
Companies House number
11087989 (opens Companies House)
Charity number
1176777

Getting help from Hertfordshire County Council

The council can assess what care someone needs and tell them what help with the cost they may get.

Checked on the council's website, November 2026.

Common questions

Does St Elizabeth's Domiciliary Care Agency provide nursing care?
The Care Quality Commission's register does not list nursing care for St Elizabeth's Domiciliary Care Agency.
When was St Elizabeth's Domiciliary Care Agency last inspected?
The Care Quality Commission's latest rating for St Elizabeth's Domiciliary Care Agency was published on 9 July 2025.
Who runs St Elizabeth's Domiciliary Care Agency?
St Elizabeth's Domiciliary Care Agency is run by St Elizabeth's Centre.
What is St Elizabeth's Domiciliary Care Agency's CQC rating?
Its overall rating from the Care Quality Commission is Good, published on 9 July 2025.