Archived: Angelica Care Ltd

Updated 17 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was undertaken by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 28 June and ended on 13 July. We visited the location’s office on 11 July 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We received feedback from 5 people who used the service and 4 relatives about their experience of the care provided. We spoke with 5 members of staff including the registered manager. We reviewed a range of records. This included 8 people's care records and multiple medication records. We looked at 6 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 17 August 2023

About the service

Angelica Care is a domiciliary care agency providing personal care to people living in their own homes. The service provides support to people living with dementia, health conditions and general frailty. At the time of our inspection there were 62 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

There was a failure to assess and mitigate risks to some people. Care records lacked guidance to ensure people received consistent and safe support. There was not an adequate process for assessing and monitoring the quality of the service. Processes were not in place to review accidents and incidents. Staff were not always recruited safely or trained.

People were happy with the care they received and felt safe with the staff that were supporting them. People told us they received a reliable service and calls were never missed. There were enough numbers of staff to ensure people did not feel rushed and people received their support on time.

Staff told us it was a good place to work. The culture of the service was positive, and people and staff were complementary of the registered manager. People and their relatives spoke positively about the management and delivery of the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 13 April 2022, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service. This was the first inspection for this newly registered service.

Enforcement

We have identified breaches in relation to managing risks, staff recruitment and training and the governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.