Background to this inspection
Updated
9 February 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This was the first inspection of the service at this location.
This inspection took place on 27 November and 11 December 2017 and was announced. The inspection was carried out by one inspector supported by an expert by experience who carried out telephone surveys of a sample of six people receiving support. 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 provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be available to assist with the inspection.
The service had submitted a Provider Information Return (PIR), in September 2017. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the information provided in the PIR and used this to help us plan the inspection.
Prior to the inspection we reviewed all the current information we held about the service. This included any notifications that we received. Notifications are reports of events the provider is required by law to inform us about. We contacted representatives of the local authority who funded people supported by the service, for their feedback.
During the inspection we spoke with the registered manager. We examined a sample of four care plans and other documents relating to people’s care. We looked at a sample of other records related to the operation of the service, including four recent recruitment records, training and supervision records and medicines recording.
Updated
9 February 2018
The inspection took place on 27 November and 11 December and was announced. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. We announced the inspection because we needed to ensure members of the management team would be available to carry out the inspection with us.Not everyone using Lovingangels Care Ltd receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
This was the first inspection of the service at its new location and was a comprehensive inspection. The service provided personal care support to 40 people at the time of the inspection.
The service is required to have a registered manager and one was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People felt safe and effectively supported by the service. Risks to people and staff were assessed and action taken where possible to mitigate them. A robust recruitment system helped ensure that staff employed to support people were suitable and had the necessary skills.
People’s medicines were managed safely on their behalf. They received appropriate support for their nutritional or healthcare needs when necessary.
People’s rights and freedom were protected and their consent was sought for the care provided. People’s care reflected their diverse needs.
Staff received appropriate induction and training to equip them to support people well. They received ongoing support through supervision and their practice was monitored periodically.
People felt their care needs were met with kindness and respect by staff. They looked after people's dignity and encouraged them to be as independent as they were able and wished to be. People felt their diversity and individuality was respected and they were involved in decisions about their care.
People and, where appropriate relatives or representatives, were involved in reviewing care needs and felt their views were listened to.
The service investigated and addressed any complaints positively.
The service was well managed by a team who used various monitoring and audit systems to maintain effective governance. The views of people and staff were sought as part of ongoing review of the service’s performance.