8 October 2019
During an inspection looking at part of the service
Angel Home Care Consultancy Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of the inspection it was providing a service to two people.
People’s experience of using this service and what we found
The provider was not always following safe recruitment practices or supporting staff sufficiently to ensure they employed suitable staff with the right mix of skills, competences, qualifications, experience and knowledge to meet people’s individual needs.
Systems for inducting and the ongoing support of staff were inconsistently applied.
Potential risks to people’s safety had been assessed. However, these were not being reviewed on a systematic and regular basis.
There was no registered manager in post and the provider had taken on all the duties of both the management and day to day administrative running of the service. Legal requirements were not always understood or met. Governance and performance management was not always reliable or effective.
People who used the service were positive about the provider and were able to contact them when they needed to.
People using the service and their relatives were positive about the care they received. They trusted the staff and felt safe with them.
Staff understood their responsibilities to keep people safe from potential abuse, bullying or discrimination. Staff knew what to look out for that might indicate a person was being abused.
Staff made sure no one was disadvantaged because of their age, gender, sexual orientation, disability or culture. Staff understood the importance of upholding and respecting people’s diversity.
Staff had been trained in the management of medicines and suitable policies and systems were in place.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (published 25 May 2018).
Why we inspected
The inspection was prompted in part due to concerns we received about assessing risks, staff training, recruitment and support as well as the overall management of the agency. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
Enforcement
We have identified two breaches in relation to staffing and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.