Angelcare - Wakefield

Updated 25 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of an adult social care inspector and an assistant inspector who made calls to people using the service, and also to staff.

Service and service type:

Angelcare Wakefield is a domiciliary care agency.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service one days' notice of the inspection because we needed the service to inform people we would be calling them. These calls were made on 4 and 5 April 2019.

Inspection site visit activity was completed on 23 April 2019. We visited the office location on 23 April 2019 to see the manager and office staff; and to review care records and policies and procedures.

What we did:

We reviewed information we had received since the last inspection in August 2016.

We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We found the information recorded on the PIR was evident during the inspection and everything stated was in place. We checked information held by the local authority safeguarding and commissioning teams in addition to other partner agencies and intelligence received by the Care Quality Commission.

We spoke with five people using the service, and three of their relatives. In addition, we spoke with six staff including members of the care staff, the branch manager and the registered manager.

We looked at three care records including risk assessments, three staff files including all training records, minutes of resident and staff meetings, complaints, safeguarding records, accident logs, medicine administration records and quality assurance documentation.

Updated 25 May 2019

About the service: Angelcare Wakefield is a domiciliary care agency that was providing personal care to 54 people at the time of the inspection.

People’s experience of using this service:

People felt safe and were happy with carers. Carers knew how to recognise and report potential abuse. Risks was appropriately assessed and guidance reflected individualised need. If people required nutritional support this was offered, as was access to other health and social care services where needed.

People received support from a consistent staff team who arrived on time and stayed for the required duration of the call. Staff understood the importance of obtaining consent and people said they always had choices.

Staff were appropriately trained and knowledgeable supporting with all aspects of care delivery including medication safely. Regular competency checks including medication and moving and handling provided reassurance practice was safe. All staff said they felt part of a team.

People were properly assessed, and their needs and wishes were reviewed regularly. Privacy and dignity was promoted along with independence. Records were reflective of people's current needs.

Complaints were well handled with evidence of reflection and learning where necessary. The service had received many compliments. People all knew who to contact and staff felt able to raise any issues.

Views of both staff and those receiving support were considered in detail. Quality assurance systems assessed service delivery accurately and showed improvements were considered and implemented wherever possible.

Rating at last inspection: Good (report published October 2016)

Why we inspected: This was a planned inspection based on the rating at the previous inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. We plan to complete a further inspection in line with our re-inspection schedule for those services rated good. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk