Anrapheal Care Agency Limited

Anrapheal Care Agency is a domiciliary care agency. It provides personal care for people living in their own homes. It provides a service to older adults, people with learning disabilities and people with physical disabilities. At the time of our inspection 1 person was 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

Right support: Model of care and setting maximises people’s choices, control and independence. 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.

At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture as it is registered as a specialist service for this population group.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

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

The provider completed checks to ensure suitable staff were employed at the service. Checks included suitable conduct in previous social care employment, relevant experience and workers right to reside or work in the UK.

The provider had a range of quality assurance audits and checks in place to monitor how care was being provided. Staff said they received unannounced spot checks every two weeks.

New care workers received an induction at the beginning of their employment and were given training to ensure they had the appropriate skills to deliver the suitable care.

Processes were in place to ensure the safe management of medicines. Risk assessments were in place to guide staff on how to care for people safely. There were systems in place for reporting incidents if required. Preventative measures and lessons learned were suitably documented.

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

The service was inspected on 31 May 2022. There was insufficient evidence to provide an overall rating for the service at this inspection (inspection report published 15 July 2022)

Why we inspected

The inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Anrapheal Care Agency is a domiciliary care agency. The service provides personal care to older people. At the time of our inspection the service was providing personal care to one person.

Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.

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

People’s relatives told us they had positive experiences of working with this provider. One person told us “[the registered manager] went out of her way to help”.

The provider had appropriate systems to assess risks to people’s wellbeing and take suitable steps to reduce these and respond appropriately to incidents. Medicines were safely managed with appropriate assessments and documentation in place. Care workers had received training in infection control and people told us care workers used appropriate personal protective equipment to reduce the risks of transmission.

The provider had clear processes for assessing people’s needs for their care and developing plans to meet these. We were unable to see how plans were checked and reviewed in time due to the short period of time the service had been operating. Plans were person centred and detailed in their scope, and care workers demonstrated a good knowledge of how people liked to be cared for, but some aspects of people’s preferences and family settings had not been recorded.

Relatives spoke of their family members feeling listened to and involved in their care, however sometimes the service was not able to provide consistent staffing for people which did cause problems. The provider was working with families to implement more consistent staffing. People received the right support to eat and drink, and at times the service took exceptional measures to ensure people’s dietary preferences were met.

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.

The provider was still in the process of implementing and developing governance frameworks, but systems of audit that were in place identified areas for development and improvement. Care workers spoke of being well supported and always being able to get support or advice from the registered manager.

The service had only been supporting a small number of people for a short period of time. We were unable to obtain sufficient evidence of consistent good practice to rate the service at this time.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

We registered this service on 13 January 2021 and this was the first inspection.

Why we inspected

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

Recommendations

We have made recommendations in relation to how the provider identifies when people require alternate written forms in line with the Accessible Information Standard. We will check if the provider has acted on any recommendations at our next comprehensive inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.