Head Office
- Home care
- Dementia care
- Registered since 2020
- Central Swindon, Swindon, South West
Requires improvement
Rated on
Rating from the Care Quality Commission.
At a glance
1 rating
Only one rating on record, so there is no trend to show yet.
4 months
since the latest rating was published.
6 of 33
rated home care services in Swindon are rated Requires improvement, like this one.
Head Office: inspection record
Rated Requires improvement in June 2026.
| 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | ||||||||||||
| Safe | ||||||||||||
| Effective | ||||||||||||
| Caring | ||||||||||||
| Responsive | ||||||||||||
| Well-led |
Ratings published by the Care Quality Commission.
Compare nearby
Nearest rated Good or Outstanding: Milestones Trust Supported Living and Outreach Services (Swindon and Wiltshire) (Good, 0.1 miles away) and Best Pinnacle Care Limited (Good, 0.9 miles away).
Nearest home care services:
- G Milestones Trust Supported Living and Outreach Services (Swindon and Wiltshire) Good, 0.1 miles away
- – Lifeways Community Care (Swindon) No overall rating, 0.2 miles away
- – Family Support Care Limited No overall rating, 0.3 miles away
- G Best Pinnacle Care Limited Good, 0.9 miles away
- G CARE 24/7 SOLUTIONS LIMITED Good, 0.9 miles away
What inspectors found
From the Care Quality Commission's assessment published 22 June 2026 (assessment visit 9 April 2026). Quoted under the Open Government Licence.
Date of assessment 17 April 2026 to 8 May 2026.
We assessed the service as it had not yet been rated by the Care Quality Commission (CQC). At the time of the assessment, there were 20 people receiving a regulated activity of personal care. The service provides support to children and young people who have a range of needs, including mental health needs, learning disabilities and autism.
- Safe No rating
- Effective No rating
- Caring Good
- Responsive Good
- Well-led No rating
Read the rest of CQC's summary
We assessed the service against ‘Right support, Right care, Right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
We identified concerns in relation to restrictive practices and unlawful restraint. Additionally, people’s assessments and care plans did not always demonstrate the use of restraint was the least restrictive option. People did not always have clear information in their care plans about how to support them with behaviours in a positive and proactive way.
However, people had information in their care plans about their likes and interests. There was a process in place to support people to safely transition between services. Staff told us they felt well supported and enjoyed working for the service. Staff worked well together as a team.
We identified breaches of the legal regulations in relation to safe care and treatment, safeguarding service users from abuse and good governance.
In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
-
Safe
No rating
Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.
This is the first rated assessment for this registered service. This key question has been rated requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.
The service was in breach of legal regulations in relation to safeguarding people from abuse, risk management and the way people’s medicines were managed.
-
Effective
No rating
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.
This is the first rated assessment for this registered service. This key question has been rated requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.
-
Caring
Good
Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.
This is the first rated assessment for this registered service. This key question has been rated good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.
-
Responsive
Good
Responsive – this means we looked for evidence that the provider met people’s needs.
This is the first assessment for this registered service. This key question has been rated good.
This meant people’s needs were met through good organisation and delivery.
-
Well-led
No rating
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.
This is the first assessment for this registered service. This key question has been rated requires improvement.
This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.
The service was in breach of legal regulation in relation to governance at the service.
Questions to ask the service
- Safe was rated Requires improvement on 22 June 2026. Ask how medicines are managed, how staffing levels are decided and how incidents are reviewed.
- Effective was rated Requires improvement on 22 June 2026. Ask about staff training and how health appointments are arranged.
- Well-led was rated Requires improvement on 22 June 2026. Ask about changes in management and what has changed since the report.
Registration details
- Registered manager
- Rhiannon Henshall
- Registered with the CQC since
- What it provides
- Domiciliary care service
- Who it supports
- Children 0-18 years, Dementia, Learning disabilities or autistic spectrum disorder, Mental Health, Older People, People with an eating disorder, Physical Disability, Sensory Impairment, Younger Adults
Inspection report
Read the full inspection report (opens the Care Quality Commission website)1 inspection report, latest 10 July 2021. Latest assessment published 22 June 2026; 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
- Provider
- Bespoke Guardians Ltd
- Ownership type
- Organisation
- Companies House number
- 11786646 (opens Companies House)
Getting help from Swindon Borough Council
The council can assess what care someone needs and tell them what help with the cost they may get.
- Adult social care at Swindon Borough Council
- Ask for a care needs assessment
- Phone: 01793 445500, Monday, Wednesday, Thursday and Friday 9am to 5pm, Tuesday 9am to 4pm
- Support for carers
- Paying for care: Swindon Borough Council
Checked on the council's website, November 2026.
Common questions
- Does Head Office provide nursing care?
- The Care Quality Commission's register does not list nursing care for Head Office.
- When was Head Office last inspected?
- The Care Quality Commission's latest rating for Head Office was published on 22 June 2026.
- Who runs Head Office?
- Head Office is run by Bespoke Guardians Ltd.
- What is Head Office's CQC rating?
- Its overall rating from the Care Quality Commission is Requires improvement, published on 22 June 2026.
Contact
- Phone
- 0333 444 1020
- Address
- 500-501 Welton Road, Swindon, SN5 7XE Map (opens Google Maps)
Compare nearby
Nearest rated Good or Outstanding: Milestones Trust Supported Living and Outreach Services (Swindon and Wiltshire) (Good, 0.1 miles away) and Best Pinnacle Care Limited (Good, 0.9 miles away).
Nearest home care services:
- G Milestones Trust Supported Living and Outreach Services (Swindon and Wiltshire) Good, 0.1 miles away
- – Lifeways Community Care (Swindon) No overall rating, 0.2 miles away
- – Family Support Care Limited No overall rating, 0.3 miles away
- G Best Pinnacle Care Limited Good, 0.9 miles away
- G CARE 24/7 SOLUTIONS LIMITED Good, 0.9 miles away