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

Inspection Summary


Overall summary & rating

Good

Updated 25 October 2018

Angels Care Wirral Ltd is registered to provide personal care to people living in their own homes. At the time of the inspection there were 16 people using the service most of whom lived in Wallasey and the surrounding area. The provider employed 17 care staff, a co-coordinator and a supervisor.

This comprehensive inspection took place on 25 September and 1 October 2018 and was announced. Following the last inspection in July 2018 we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, and well led to achieve a Good rating.

At this inspection we found there had been improvements in all required areas and we found that the breaches in relation to Regulations 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities). Regulations 2014. Had been met. These breaches related to staff support, training and good governance.

The service had a registered manager. 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.

The provider had ensured robust systems were in place for reviewing, monitoring and assessing the quality of the service. The provider was undertaking their own internal audits of the records; therefore they were now able to demonstrate how they monitored and identified any shortfalls and showed they had taken action to drive improvements.

The provider had ensured that staff received regular support, training and supervision and had the skills, knowledge and experience required to support people with their care and support needs. Training materials were up to date and did reflect current good practice guidelines and legislation.

People received their medicines on time and the information available to staff about people's medicines was up to date. There were risk assessments in place so that staff would had the guidance they needed to ensure people received their medicines safely.

People's risk assessments were in place and had been updated and reviewed to reflect changes in their needs.

Care records were informative and up-to-date. Each person using the service had a personalised support plan and risk assessment. All records we saw were complete, up to date and regularly reviewed. We found that people and their relatives were involved in decisions about their care and support.

We found that recruitment practices were in place which included the completion of pre-employment checks prior to a new member of staff working at the service and disciplinary procedures had been followed appropriately and in accordance with policies. Staff received a comprehensive induction programme, regular training and supervision to enable them to work safely and effectively. There was also an up to date staff handbook that all staff were given and also staff were informed when there were any updates.

People's GPs and other healthcare professionals were contacted for advice about people’s health needs whenever necessary and when people requested their support.

The provider had systems in place to ensure that people were protected from the risk of harm or abuse. We saw there were policies and procedures in place and training to guide staff in relation to safeguarding vulnerable adults.

The service had quality assurance processes in place including service user questionnaires. The service’s policies and procedures had been reviewed and updated in 2018 by the provider and these included policies on health and safety, confidentiality, mental capacity, medication, whistle blowing, safeguarding and recruitment.

People told us they were happy with the staff and felt that the staff understood their care and support needs. The three people we spoke with and two relatives

Inspection areas

Safe

Good

Updated 25 October 2018

The service was safe

Safeguarding policies and procedures were in place and staff had received training about safeguarding people.

Staff had been recruited safely. Appropriate recruitment, disciplinary and other employment policies were in place.

Staff had received training about medication handling and managed people’s medication safely when required.

Effective

Good

Updated 25 October 2018

The service was effective

Staff were appropriately inducted and received ongoing training. They also had and were provided with regular supervision meetings and an annual appraisal.

People had given consent for care to be provided and the service had policies and procedures in place in relation to the Mental Capacity Act 2005.

The provider provided initial assessment visits where people’s’ needs were looked at and family were included in assessing and creating a personalised support plan.

Caring

Good

Updated 25 October 2018

The service was caring.

Confidentiality of people’s care files and personal information was respected.

People told us that their dignity and privacy were respected when staff provided care and supported them and staff showed a regard for people’s individuality.

People told us that there was good communication between them and the service and staff understood them and their needs.

Responsive

Good

Updated 25 October 2018

The service was responsive.

Suitable processes were in place to deal with complaints appropriately and people’s comments and complaints were taken seriously and investigated.

People who used the service told us they were involved in their plan of care and where appropriate, their support needs were assessed with them and their relatives or representatives.

Care plans were reviewed regularly and there were good records of communication with other professionals including people’s visits to or by medical professionals.

Well-led

Good

Updated 25 October 2018

The service was well-led.

Quality assurance systems were in place to ensure the service provided safe and good care and people who used the service had opportunities to express their views.

The registered manager was effective and had clear roles and responsibilities for all staff.

The service had a manager who was registered with the Care Quality Commission.