Angila Care Ltd

Updated 7 July 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 carried out by one inspector, an assistant 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. The Expert by Experience made calls to people and relatives about their experience of using the service. The assistant inspector made telephone calls to staff.

Service and service type

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

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 it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 5 June 2023 and ended on 15 June 2023. We visited the location’s office on 6 June 2023.

What we did before 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

An inspector visited the office. We looked at 4 people’s care records including medication administration records. We spoke with the nominated individual, registered manager, care coordinator and 5 care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider. An Expert by Experience spoke with 1 relative and 5 people about their experiences of the care provided. We also looked at 2 staff files in relation to recruitment and a variety of records in relation to the management of the service including polices and audits.

Updated 7 July 2023

About the service

Angila Care Ltd is a domiciliary care service providing support and personal care to people living in their own homes. At the time of our inspection the service was supporting 12 people.

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

Audits were completed to assess, monitor, and improve the quality of the service but we found not all areas were monitored robustly. Recruitment was not managed safely. Whilst some systems had improved, we found continued shortfalls. The registered manager responded promptly to the shortfalls we found and we were assured effective action had been taken to protect people from the risk of harm.

Care records were clear and well maintained. The provider had made improvements to how they assessed and managed the risks people were exposed to. Staff knew people well and supported them based on their needs, choices, and preferences.

Systems were in place to effectively reduce the risk of infection. Medicines were managed safely. People and relatives spoke positively about the service and said call times were consistent. They said staff were kind and caring and they felt safe. They gave examples of staff going above and beyond. One person said, “All the carers even the newer ones will go the extra mile.”

The provider had made improvements to how the service was managed. They worked closely with people, relatives, staff and other stakeholders. They spoke passionately about plans to further improve the service .

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

Rating at last inspection and update

The last rating for this service was inadequate (published 2 November 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

This service has been in Special Measures since 29 November 2022. During this inspection the provider demonstrated improvements have been made, however further work was required to continue to develop the service and maintain people's safety. The service is no longer in 'Special Measures'.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers the findings in relation to the Key Questions Safe and Well-led which contain those requirements. We have found evidence the provider needs to make improvements. Please see the Safe and Well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Angila Care Ltd on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe recruitment and good governance.

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.