- Homecare service
A1 Healthcare Solutions
Report from 17 November 2025 assessment
Contents
Ratings
Our view of the service
Date of assessment:Monday 1st December to 11th December 2025.
A1 Healthcare Solutions is a domiciliary care agency providing personal care to people living in their own homes. This was the first assessment for this registered service.
People told us they felt safe and were treated with kindness and respect. Staff promoted independence and choice, and care was tailored to individual preferences, including cultural and religious needs. Feedback from people and relatives was positive, describing staff as compassionate and professional.
People’s outcomes were positive, and staff worked well with families and professionals to support health and well-being. Consent was sought before care, and staff understood the Mental Capacity Act. Quality assurance processes and audits were in place, and people were involved in reviews.
However,medicines were not consistently managed safely, and care plans lacked sufficient detail for complex tasks such as catheter care and hoisting. Planning for future care, including end-of-life wishes and contingency arrangements, was limited. Governance systems were not always robust, and improvements identified through audits were not always implemented promptly. Training gaps remained in specialist areas including equality and diversity.
The agency operated on a small scale, supporting two individuals, with the registered manager responsible for completing care calls. At the time of inspection, this arrangement did not result in any direct harm to service users.The provider demonstrated a positive culture and commitment to person-centered care, but improvements were needed in risk management, medication protocols, care planning, and governance to ensure consistent safe practice and sustainability as the service grows.
People's experience of this service
People told us they felt safe and well cared for by staff who were familiar to them and attentive to their needs. They described staff as professional, friendly, and committed to ensuring their comfort and safety. People said staff consistently used protective equipment and followed infection control practices. They felt staff were thorough, often double-checking tasks and prioritising their well-being.
People confirmed they were involved in developing their care plans and any changes were communicated clearly. They felt staff respected their privacy and dignity, always seeking permission before providing support and explaining what they were doing. Staff were described as responsive and approachable, with managers acting promptly on any concerns raised.
People said staff understood their preferences and routines well, adapting care to individual needs. Examples included encouraging meals whenrequiredfor medication andanticipatingcomfort needs such as extra blankets. People felt listened to and supported emotionally, with staff taking time to reassure them when they felt low and enabling social connections, such as attending church.
Communication was reported as clear and tailored, with updates provided through reviews and phone calls. People felt confident giving feedback and said staff and managers acted on suggestions. Overall, people experienced continuity of care from a team theytrusted anddescribed the service as family-oriented and person-centred.