Angels Healthcare Solutions Ltd

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first assessment for this service. This key question has been rated good. This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. We found the management team were open and transparent and wanted to drive improvement at the service. Accidents and incidents were reviewed and lessons learned were completed which were shared with the staff team through team meetings and discussions.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. One person told us, “They [staff] are lovely and all I need to do is phone up and they will change at short notice to help me with any appointments I need. From starting to receive support [registered manager] has worked with me so I receive the right support.”

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately. One person told us, “I have no concerns I know I am safe with people supporting me in my home. They [staff] have a key, they shout up to me when they come in so I know they are here.” One relative told us, “I feel [name] is well protected. They look after [name] like I would look after them. We have devised a system that works for us. They really did step up when I was off my feet for six weeks.”

Staff had received safeguarding training. One staff member told us, “I have had training in safeguarding. I would call my manager if I suspected anything relating to abuse. I have not reported anything up until now. Another staff member told us, “I would do whistleblowing. I would report this to my manager if I found something I was concerned about.”

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Processes were in place to ensure that staff had detailed and up to date information to allow them to support people appropriately and mitigate risks and this was confirmed by staff.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Prior to support an assessment of the environment was completed with regular review by the provider to ensure both people and staff were safe. Staff were aware of risks associated with the environment and knew where to find the information to guide them. One staff member told us, “We do a risk assessment of a person’s home when we start providing the care package. We do this before we start.”

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. Recruitment processes were robust, ensuring staff were suitably qualified and vetted. People and their relatives told us they had no concerns regarding call times. One person told us, “They [staff] turn up on time, I have sometimes changed my times, and they accommodate me.” One staff member told us, “I am allocated start and finish time. We must sign in and out. If we are going to be late, we must inform the manager as soon as possible. This has happened. I was not well and had to call in sick. The manager was able to cover my shift. The manager informs the person when this has happened.”

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff received training in infection control, and no concerns were raised by staff about the availability of personal protective equipment (PPE). People and their families also raised no issues with the management of infection.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened. People were supported by staff who followed systems and processes to administer, record and store medicines safely. No one we spoke with had any concerns regarding medication. One relative told us, “They check to make sure that [name] takes it. I have never noticed any medication problems.” One staff member told us, “I provide medication to people. I check the care plans to ensure I am giving the right medication. I have had medication training.”