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Archangel Home Care

Overall: Good read more about inspection ratings

Hamilton House, 9 Hucknall Road, Nottingham, Nottinghamshire, NG5 1AE (0115) 697 7877

Provided and run by:
Archangel Enterprises Limited

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

All Inspections

During an assessment under our new approach

Date of assessment: 23 October to 14 November 2025.

 

Archangel Home Care is a domiciliary care agency. It is registered to provide personal care to people over the age of 18 years, living in their own homes. Not everyone who used the service received personal care. CQC only assesses services where people receive personal care. This is help with tasks related to personal hygiene and eating. At the time of this assessment there were 4 people receiving personal care.

 

There was a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. This means that they and the provider are legally responsible for how the service operates. This was an announced assessment because the service was small, and we needed to ensure the registered manager would be available to support the assessment.

 

Archangel Home Care was last rated requires improvement (published 25 June 2019). At that time, the provider was in breach of the legal regulation in relation to quality monitoring and governance. This assessment looked at all quality statements within all key questions. At this assessment Archangel Home Care was rated good.

 

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. Whilst the manager was unaware of this guidance, the principles of ‘Right support, right care, right culture’ were met for all people who received support from Archangel Home Care.

 

Right Support:

People were encouraged to lead their lives in their chosen way and were supported to access activities in the community. Staff involved people in decisions and planning any changes to their care, independence was encouraged and supported. Staff did not restrict people, they understood and managed risks. The policies and systems in the service supported this practice.

 

There were enough staff, and where gaps were identified in training to support people with a learning disability or autistic spectrum disorder, this was addressed immediately after the assessment. Staff described care they provided, which suggested they did have the skill and understanding to support all people. The registered manager made sure staff received regular supervision to maintain high-quality care.

 

Staff followed safeguarding procedures and demonstrated an understanding of how to raise concerns both internally and externally. There were systems to review incidents and accidents. People told us care was timely; however, oversight of staff deployment was not always adequate.

 

Right Care:

People were treated with kindness and compassion and received dignified care that respected their privacy and human rights. Care and support were person-centred and holistic. Individualised care and support plans were in place that enabled staff to provide person centred, outcome focussed, and safe care for each person. People’s preferred communication styles were known, and staff were skilled in supporting people with their communication needs. The manager was proactive in addressing gaps in policy and procedure identified about communication and accessibility during the assessment.

 

Right Culture:

People, their relatives and staff believed their views and feedback were valued, respected and consistently used to support quality service development. The ethos, values, attitudes and behaviours of leaders and care staff ensured people supported by Archangel Home Care led confident, inclusive, and empowered lives. Staff and managers had shared values which were based on supporting people to live an ordinary life as any other citizen with the same rights and opportunities.

 

The registered manager undertook a range of audits to check on the quality of care provided; however, action was not always taken when concerns were identified. Relatives and staff felt the leadership of the service was effective and encouraged people to be involved in their care.

 

​The provider was previously in breach of legal regulation in relation to leadership and governance. The service had made improvements and is no longer in breach of regulations.

21 March 2019

During a routine inspection

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

12 February 2016

During a routine inspection

This announced inspection was carried out on 12 February 2016. Archangel Home Care Nottingham Branch is a domiciliary care service which provides support and personal care to adults living in their own homes who may require support with their mental health, have a learning disability or be on the autistic spectrum. On the day of the inspection there were four people using the service who received personal care.

The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who understood the risks people could face and knew how to make them feel safe. People were encouraged to act safely and to do what they were able to as independently as possible.

People were supported by staff that they knew. People received a flexible service that suited their individual circumstances. People were prompted to take their medicines if needed.

People were supported by staff who were trained and given guidance on how to do meet their needs. People’s human rights to make decisions for themselves may be overlooked as the legislation to ensure people’s rights were upheld was not being followed.

People were supported to eat a healthy and balanced diet which promoted their wellbeing. People received support from staff who understood their physical and mental health needs.

People were treated with respect by staff who demonstrated compassion and understanding. People were encouraged to set goals to maximise their strengths and build on their independence.

People were involved in planning and reviewing the support they received. People were encouraged to express any issues of concerns they had so these could be looked into.

People who used the service and staff were able to express their views about the service which were acted upon. The registered manager provided leadership that gained the respect of staff and motivated them as a team. There were systems in place to monitor the quality of the service and make improvements when needed.