Angy Care Limited

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We identified a breach of the legal regulations in relation to consent. People’s health and wellbeing needs were not fully assessed before their care package commenced. We could not be assured people’s nutrition and hydration needs were met in line with current guidance. Communication needs had not been fully assessed. Staff did not have access to the information they needed to appropriately plan and deliver people’s care and support. Processes were not in place to ensure people’s capacity was assessed.

This service scored 33 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

While the people we spoke to expressed that they were generally happy with their care, our assessment found care did not meet the expected standards. For example, people’s health and wellbeing had not been effectively assessed prior to care packages starting.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. The business manager did not have any knowledge about assessing people’s needs and what processes were in place, which left people at significant risk of not having their needs met.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. We were not assured that people’s care needs were routinely reviewed. One person’s care plan sent to us by the business manager was created on the same day it was requested and therefore we were not assured that staff had seen this document or that it was accurate, up to date or contained all the relevant information staff would need to support the person. Communication needs had not been assessed. People’s health and wellbeing had not been effectively assessed prior to Angy Care starting the care package. People were at risk of not having their needs met.

While the people we spoke to expressed that they were generally happy with their care, our assessment found care did not meet the expected standards. For example, the registered manager failed to provide evidence they were delivering care and support that was evidence based and in line with good practice standards.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. The business manager did not have any knowledge about how the service was meeting people’s needs using evidence-based care and support. People were at significant risk of not receiving care and support that was evidence-based and in line with good practice standards.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. We were not assured that the registered manager kept up to date with national legislation, evidence based good practice and required standards as the care plan that was provided did not reflect this. We could not be assured people’s nutrition and hydration needs were met in line with current guidance as the registered manager refused to provide that information. The registered manager also failed to demonstrate how they would and could improve the way the service delivered care. People were at significant risk of not having their needs met.

While the people we spoke to expressed that they were generally happy with their care, our assessment found care did not meet the expected standards. For example, the registered manager had failed to provide evidence to support how they worked well with other services to ensure people’s care plans contained the information staff would need to deliver appropriate care and support.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. The business manager did not have any knowledge about how the service works with other teams.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. Staff did not have access to the information they needed to appropriately plan and deliver people’s care and support. The care plan for one person was inadequate and did not contain the information staff would need to deliver safe care and support. The registered manager did not provide evidence that showed they, and other staff, worked in a co-ordinated and effective way to meet people’s needs. The care plan did not detail any ongoing care arrangements or expected outcomes for people. We could not be assured that the registered manager and staff worked effectively with other teams to ensure people experienced positive outcomes.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

While the people we spoke to expressed that they were generally happy with their care, our assessment found care did not meet the expected standards. For example, there were no systems in place to evidence when people experienced positive outcomes. This meant people we could not be assured that people were consistently happy with their care and support, but also that areas that needed improvement could be identified.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. The business manager did not have any knowledge about how the service monitored people’s care and support to ensure they consistently experienced positive outcomes.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. The registered manager did not have systems in place to monitor people’s care and support and therefore we could not be assured that people who used the service, consistently experienced positive outcomes. There was no evidence of continuous improvements made to people’s care and support.

While the people we spoke to expressed that they were generally happy with their care, our assessment found care did not meet the expected standards. For example, there was no evidence that capacity assessments took place or evidence that consent had been given by people.

We could not collect evidence under this category from the registered manager as they would not engage with us throughout the assessment. We asked the business manager if they knew if a person had capacity. They were unsure and told us they thought they did, however, they also told us that the person was very forgetful and may have dementia. There was no reference to this in the person’s care plan or how they are supported to make any decisions. We could not be assured that people’s capacity was being assessed and their consent given regarding the care and support they received.

Processes were not in place to ensure people’s capacity was assessed. There was no evidence that people’s views and wishes were taken into account when planning their care and support. There was no evidence that mental capacity assessments had been completed or information on how people wanted to be supported to make day to day decisions. There was no information about what support they might need to make bigger decisions. Care plans did not contain information around consent or people’s ability to consent. We were not assured that the registered manager was providing care and support in line with the Mental Capacity Act 2005.