During an assessment under our new approach
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.