Archived: Angel Home Limited

Updated 7 April 2016

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.

We undertook an unannounced focused inspection of Angel Home Limited on 11 March 2016. This inspection was completed to check that improvements to meet legal requirements planned by the registered provider after our comprehensive inspection on 1 October 2015 had been made. We inspected the service against three of the five questions we ask about services: is the service safe? Is the service effective? Is the service was well-led?

The inspection was undertaken by one inspector. Before our inspection we reviewed the information we held about the home. This included the registered provider’s action plan, which set out the action they would take to meet legal requirements.

During the inspection we spoke with the registered manager, reviewed medicines management arrangements, reviewed three people’s care records and auditing processes.

Updated 7 April 2016

We carried out an unannounced inspection of this service on 1 October 2015 at which breaches of legal requirements was found. We found the provider was not adhering to requirements relating to need for consent, safe care and treatment and good governance. After the inspection, the provider wrote to us to say what they would do to meet the legal requirements.

We undertook an unannounced focused inspection on the 11 March 2016 to check that they now met legal requirements. This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Angel Home Limited’ on our website at www.cqc.org.uk.

Angel Home Limited provides accommodation, care and support to up to nine people with learning disabilities. At the time of our inspection seven people were using the service.

A registered manager was in post. 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.

Safe medicines management processes were in place and people received their medicines as prescribed. Stock checks were undertaken daily to ensure all medicines were accounted for. Protocols had been updated in regards to “when required” medicines and homely remedies to ensure staff knew what medicines were safe to give people and when they should administer them.

Consent procedures had been reviewed and mental capacity assessments had been completed to identify what aspects of their care people had capacity to consent to. For people who were deprived of their liberty the registered manager had arranged to obtain the legal authorisation to do so through the Deprivation of Liberty Safeguards. DoLS provides a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them.

Care records had been updated to ensure they provided an accurate and complete record of people’s care and support needs. Care records contained detailed information about people’s preferences and the level of support they required. The registered manager reviewed the content of people’s care records to ensure they were accurate and up to date.

The required actions had been completed and the service was now meeting legal requirements.