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Archangel Home Care Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 June 2019

About the service: Archangel is a domiciliary care service which provides support and personal care to adults living in their own homes or supported living accommodation who may require support with their mental health, have a learning disability or be on the autistic spectrum. Archangel was registered to provide personal care to 32 younger adults. There were six people received a regulated activity at the time of our inspection.

People’s experience of using this service: Staff raised concerns in the deployment and levels of staff. Risk were assessed, but not always recorded. There was a risk staff were not trained to follow infection control guidelines effectively. Processes were in place to manage accidents and incidents, but outcomes were not always recorded. People were kept safe from harm. Medicine systems were organised, and people received their medicine as prescribed.

Staff supervision and support was not taking place on a regular basis. People’s needs were assessed. Staff were knowledgeable about the people they cared for. People’s nutritional needs were met. The service supported people to work with other professionals and agencies to ensure they received effective care. People were involved in decisions about the environment they lived. People were supported to live a healthy life style. The service was working within the principles of the Mental Capacity Act 2005.

Staff were kind and companionate towards the people they cared for. People were supported to express their views about their care and support. People were treated with respect at all times.

Care was personalised to each individual and people were empowered to make choices and have control of their life. People were aware how to make a complaint and raise a concern, however these were not always recorded to identify the outcome for people. End of life policies and procedures were in place should people wish to discuss their end of life care needs.

People complimented the service and their experience was good. Planning and development was not always monitored or recorded in line with the providers policy and procedures. There was a registered manager in place, but staff felt they were not always approachable or organised to support them. People were involved in their care and support and had the opportunity to give feedback about the service. The registered manager was passionate about the care the service provided and put processes in place to learn and improve the service. People were supported to access other professionals and work with other agencies as required.

Rating at last inspection: Good date last report published 26 March 2016

Why we inspected: This was a planned inspection based on the rating at the last inspection. We saw the service had deteriorated since the last inspection. This meant the service required improvement.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. 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

Inspection areas

Safe

Requires improvement

Updated 25 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 25 June 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 25 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 25 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 25 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.