Background to this inspection
Updated
1 April 2021
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was it was a small service and we needed to be sure that the registered manager would be in the office to support the inspection.
Inspection activity started on 02 February 2021 and ended on 15 March 2021. We visited the office location on 25 February 2021.
What we did before the inspection
We reviewed the information the CQC held about the service. We sought feedback from local commissioners and professionals. 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 spoke with the registered manager and two care workers. We spoke with two people using the service and one relative. We reviewed a range of records, including four people's care records and medicines records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed the provider's policies and procedures.
Updated
1 April 2021
About the service
Angel Hands is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection the service was supporting six people.
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
Risks faced by people were assessed and documented and staff understood how to mitigate them. However, some risk assessments did not contain enough detail and people’s medicines had not always been correctly recorded. Safer recruitment procedures had not always been followed.
People and their relatives spoke highly of the service and the care they were receiving. One person said, "They are lovely, absolutely lovely, the whole team." People told us they had continuity of care from caring, experienced staff who understood their needs.
People told us they felt safe and they were cared for by staff who were well-trained and understood how to protect them from abuse and report any concerns.
People and their relatives told us that if things went wrong they would be comfortable in contacting the office and felt confident they would be listened to. There were quality assurance systems in place and regular spot checks of staff.
Staff told us they enjoyed their work and felt very well-supported by the registered manager. They told us their working conditions were good and they had regular supervision and appraisal.
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 10 May 2017 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service registered with us.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.