Angelic Care

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service. This key question has been rated Good: This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Information available to staff immediately after admission did not always support the delivery of safe care. Care plans were not always detailed enough to safely guide staff who did not yet know the person or their care needs. For example, information regarding mobility was not always available to staff prior to their first care call. Staff understood their responsibility to report any changes to the management team who updated people's care records. However, whilst regular reviews of care plans took place, we could not be assured that changes were appropriately recorded as this was not logged.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.Care records for people did not always include guidance for staff in line with best practice. For example, where people displayed behaviours associated with distress there was a lack of information for staff to follow on how people may present or how to avoid escalation.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.Care plans reviewed during the assessment showed evidence of collaboration with other services, for example respiratory nurses, district nurses, specialist hospital teams and social workers. One person's care plan contained details of actions required were they to become breathless, including contact numbers for the hospital team involved.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. A person told us "They are brilliant! I could not manage without them as I am very nervous about falling". Family members told us that they were happy with the way the staff kept them updated about their relative's health and welfare. Care plans were developed with people and their families to identify where they needed support.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Relatives told us that staff would make sure that people had eaten, and this was recorded in daily notes. One person told us “I have struggled to get [Name] to eat, but they do it with gentle encouragement!”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Any changes to care was discussed with people and their families to make sure their wishes were respected. A relative told us "I hear them (staff) talking to [Name] about what needs doing next and making sure [Name] understands. If [Name] asks them for anything, they do it".