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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2018

We visited this service on 3 and 4 December 2018. We gave notice of the visit to ensure that the registered manager was available to assist us during our visit.

This domiciliary care service is owned by Archangel Enterprises Limited and is registered to provide personal care to adults within their own homes. The agency offers support primarily to people with a learning disability mainly within the Winsford and Northwich areas of Cheshire. The service is run from an office situated on the outskirts of Winsford within an established industrial estate.

The service provides care and support to both people living in ‘supported living’ settings and people living in their own home. Supported living settings are designed so that people can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living or in people’s own homes; this inspection looked at people’s personal care and support. At the time of our visit 90 people were being supported by the service.

There was a registered manager employed to work at the service. 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.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

People told us they felt safe using the service and felt safe with the staff team. Staff demonstrated an understanding of the types of abuse that could occur and had confidence in systems in place to report these.

Medication management was safe with people able to manage their own medication independently.

There were sufficient staff in place to meet the needs of people who used the service. Recruitment of new staff was robust with appropriate checks in place to ensure that they were suitable to support vulnerable people.

The risks faced by people in their support and in their living environments were taken into account. The registered provider sought to enable people to take risks in a safe manner in order to increase independence in their daily lives.

Staff received the training and supervision they needed to perform their role. People told us that the staff knew their needs and preferences.

The registered provider was aware of the principles of the Mental Capacity Act 2005 but was not routinely involved in assessing whether people should be the subject of deprivation of liberty safeguards. People were consulted about the support they received, agreed with it and had the opportunity to become more independent through discussions with staff through positive risk taking.

People’s nutritional needs were met and people were supported to be involved in the preparation of food in line with their abilities.

People always received support in accessing medical services when needed.

People and relatives felt that the staff team were caring and took their privacy into account at all times. People’s personal information was kept secure and confidential.

Staff interactions were respectful and positive.

People had their communication needs taken into account with staff able to effectively communicate with those with limited verbal communication.

Care plans were person centred and people who used the service were involved in their creation.

The registered provider supported people in leisure activities as well

Inspection areas

Safe

Good

Updated 19 December 2018

The service remains Good

Effective

Good

Updated 19 December 2018

The service remains Good

Caring

Good

Updated 19 December 2018

The service remains Good

Responsive

Good

Updated 19 December 2018

The service remains Good

Well-led

Good

Updated 19 December 2018

The service remains Good