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Archangel Home Care - Staffordshire Branch Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 December 2020

About the service

Archangel Home Care – Staffordshire Branch is a domiciliary care agency. It is registered to provide personal care to people living in their own homes. CQC only inspects where people receive personal care. This is related to help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection, 110 people were receiving personal care.

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

There were not enough staff to cover calls, this meant the registered manager, deputy manager and care coordinators had to support, which impacted on the overall governance of the service.

Quality assurance systems were not always effective at identifying areas for improvement and people’s care records were not always updated. People did not have individual ‘as required’ medicine protocols in place to guide staff when they were needed.

People felt safe. Staff knew how to protect people from abuse and they understood people’s risks and how to support them safely.

People were protected from the risk of cross infection as staff followed the additional guidance in place due to the COVID-19 pandemic.

People felt able to contact the office to raise concerns and were confident these were acted on. People were given the opportunity to feedback about the care they received.

The registered manager understood their responsibilities and were open and reflective during the inspection.

Rating at last inspection and update

The last rating for this service was requires improvement (published 04 September 2019) and there was a breach of regulation. We asked the provider to complete an action plan after the last inspection, however, we did not receive this. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

Our intelligence and monitoring systems highlighted to us that the service was high risk. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained as requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this report.

You can see what action we have asked the provider to take at the end of this report.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained requires improvement overall. 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 Archangel Home Care - Staffordshire Branch on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to governance at this inspection. You can see the action we told provider to take at the end of the full report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they

Inspection areas

Safe

Requires improvement

Updated 17 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 December 2020

Caring

Good

Updated 17 December 2020

Responsive

Good

Updated 17 December 2020

Well-led

Requires improvement

Updated 17 December 2020

The service was not always well-led.

Details are in our well-led findings below.