28 September 2022
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.
The inspection was carried out by one inspector
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 26 August 2022 and ended on 8 September 2022. We visited the location’s office on 26 August 2022.
What we did before the inspection
We looked at all the information we held about the service including notifications. A notification is information about events that the registered persons are required, by law, to tell us about. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with eight members of staff, including the registered manager, care manager, care coordinator, care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with four people and their relatives.
We reviewed a range of records. This included five people’s care records and samples of people’s medicine records. We looked at eight staff recruitment files. A variety of records relating to the management of the service, including complaints, accidents and samples of audits were also viewed.
After the inspection
We contacted two external professionals to gather their views about the service.
28 September 2022
About the service
Gabriel’s Angels Ltd is a domiciliary care agency providing personal care to people. People with various care needs can use this service including people with physical disabilities, older people, younger adults, sensory impairments and people with dementia. At the time of inspection, 80 people received personal care from this service.
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
We have made a recommendation for the provider to review their recruitment processes. The service had ensured that medicines were given to people safely. People’s risks assessments were clearly written and easy to follow, meaning that people were less likely to suffer harm. People and staff knew how to raise safeguarding concerns. People felt there were enough staff to provide care and felt safe when staff visited them.
Staff worked well with people, families and health and social care agencies to support people’s wellbeing. There was a positive culture amongst staff at the service. Staff knew people they supported well and cared about their wellbeing. The provider was able to demonstrate any learning from incidents or accidents was undertaken effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18 October 2019).
Why we inspected
We received concerns in relation to the recruitment of staff. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same.
We have found evidence that the provider needs to make improvements. Please see the safe section of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gabriel’s Angels Ltd on our website at www.cqc.org.uk.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.