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Inspection Summary


Overall summary & rating

Good

Updated 17 December 2016

Our inspection of Angelwings took place between 14 and 16 November 2016 and was announced in line with our domiciliary care methology. The service was last inspected in February 2016 when we found one breach relating to safe recruitment processes. At this inspection we found improvements had been made and the service was no longer in breach of these regulatory requirements.

Angelwings Homecare is a domiciliary care agency, which provides care and support services to adults in their own homes across Brighouse, Rastrick, Elland and surrounding areas. The agency provides a range of services including personal care. At the time of our inspection the service was providing personal care to five people. A registered manager was not required to be in position since the provider is a single individual.

Since our last inspection the provider had put a more robust recruitment system into place which ensured information about people's previous employment and any employment gaps were explored and documented at interview.

There were sufficient staff deployed to support people who used the service in a safe manner. People told us their relatives were supported by regular staff who understood their relative's care and support needs and stayed the appropriate length of time to offer effective care and support. Staff arrived on time, had received appropriate training to support them in their roles and were encouraged to develop their skills further through additional training and development. Staff spot checks and supervisions were in place.

People who used the service and their relatives felt safe with the care staff who supported them. Safeguarding procedures were in place and staff had received safeguarding training which was up to date. Risks to people's health and safety were assessed and plans of care put into place.

The service was acting within the framework of the Mental Capacity Act. People who used the service were given choices regarding their care and support and independence promoted where possible.

Where the service was supporting people nutritionally, they were supported to consume a varied and healthy diet.

People's relatives told us staff were kind, caring and supportive and knew their relatives well, including what they liked, disliked and what their care needs were.

Care needs were assessed prior to service commencement and plans of care put into place. Care records and comprehensive daily plans were highly individualised and person centred. Staff knew people's care needs well.

We observed and people told us the service was well managed and the manager was friendly and approachable. Staff morale was good and there was a commitment to provide good quality and effective care.

A range of audit systems were in place which the service was evolving as the service expanded.

Staff meetings were held regularly and people's opinions were sought through annual questionnaires and informal discussions.

Inspection areas

Safe

Good

Updated 17 December 2016

The service was safe.

Sufficient staff were deployed to support people who used the service.

Risk assessments were in place and reviewed appropriately.

Medicines were managed safely.

Effective

Good

Updated 17 December 2016

The service was effective.

Staff training was generally up to date.

Evidence of consent was seen in people's care records.

People's health needs were assessed and appropriate referrals made where necessary.

Caring

Good

Updated 17 December 2016

The service was caring.

People said staff treated their relatives with dignity and respect.

Care staff were caring and compassionate.

Staff supported people to be as independent as possible.

Responsive

Good

Updated 17 December 2016

The service was responsive.

Care records were person centred and contained person-specific information.

Reviews of care were seen to be completed and reviewed regularly.

People's individual preferences were seen to be respected.

Well-led

Good

Updated 17 December 2016

The service was well led.

The manager was a visible presence within the service and led by example.

Staff felt supported and could approach the manager with concerns and issues.

An audit system was in place and the manager understood the need to evolve this as the service expanded.