Background to this inspection
Updated
6 July 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there were 2 registered managers who jointly managed the service.
Notice of inspection
We gave a short period notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 14 June 2023 and ended on 21 June 2023. We visited the location’s office/service on 21 June 2023.
What we did before the inspection
We reviewed information we had received about the service since they registered. We used all this information to plan our inspection.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with the registered managers, and a team leader on the day of the site visit. We reviewed a range of records including 3 people’s care plans, medicines administration records and risk assessments. We reviewed recruitment records for 3 care workers, training records and records relating to the management of the service.
We spoke with 3 people using the service, 3 relatives and 3 care workers on the telephone. In addition, we received feedback via email from a further 3 care workers. You can see what they told us in the main body of the report.
Updated
6 July 2023
About the service
Anglo Support and Housing Limited is a domiciliary care service that provides personal care to people in their own homes. At the time of the inspection the service was supporting 28 people. However, only 7 people were receiving the regulated activity of personal care.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People were safe. Policies and procedures were in place to guide care workers on how to keep people safe and what they had to do if they had concerns. Care workers understood the risks to people's safety and wellbeing and what they should do to keep people safe. They understood that any concerns should be shared with the management team.
People’s medicines were managed safely where this was part of the care and support needs. Systems were in place to ensure staff were trained and competent to help people with their medicines. Risks to people were assessed and mitigated.
People received care from regular care workers. Each person had a small core team to ensure care was provided consistently by staff that knew them well. New care staff were introduced to people before they provided care and support. No new packages of care would be taken on unless there were sufficient care workers. Systems were in place to ensure the right staff were recruited.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by care workers that had received relevant training. Care workers were well supported by the registered manager and the management team. Care workers had regular individual supervisions and monthly team meetings. These along with spot checks were used to encourage continual learning and to make improvements to the service.
People’s views were sought through spot checks and informal telephone calls. The registered managers were in the process of sending out surveys to people, their relatives, and staff to help them assess the quality of the service.
People were supported to raise concerns and knew how to complain. Feedback from people was mixed however it was evident the registered managers were aware and proactively addressing this with people and staff to improve the quality of the service being provided.
Staff support, teamwork and staff morale was generally good. Staff were positive about working for Anglo Support and Housing Limited. They felt supported by the management team and were clear about the aims of the service. There were suitable governance systems in place to monitor the quality of the service and drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 15 October 2022, and this is the first inspection. The service was not providing regulated activities from November 2022. The service has been rated good.
Why we inspected
This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.