Archived: Anointed 2 Care

Our last inspection at Anointed 2 Care took place on 2 August 2017. The service was rated Requires Improvement overall. We found the service was in breach of three of the regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. Regulation 12, Safe care and treatment, Regulation 18, Staffing and Regulation 17, Good governance.

Following the last inspection, we asked the provider to complete an action plan to show what they would do, and by when, to improve the key questions asking if the service was safe, effective, responsive and well led, to at least good. The registered provider sent us an action plan detailing how they were going to make improvements. At this inspection we checked the improvements the registered provider had made. We found sufficient improvements had been made to meet the requirements of the Regulations.

There was a manager at the service who had been in post for three months. They were also the providers nominated individual. The manager had applied to be registered with the Care Quality Commission (CQC) as manager. A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.

We received positive views from people about the support provided to them or their family member. People told us they felt safe and their support workers were respectful. People told us they received a consistent and reliable service that met their needs.

We found systems were in place to administer people’s medicines safely.

We found there were systems in place to protect people from the risk of harm. Staff we spoke with were able to explain the procedures to follow should an allegation of abuse be made. Assessments identified risks to people, and these were regularly reviewed to ensure people's safety.

Robust recruitment procedures were in operation and promoted people’s safety.

Staff were provided with relevant training, supervision and appraisal for development and support.

There were appropriate numbers of staff employed to meet people’s needs and provide a flexible service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice. People had consented to receiving care and support from Anointed 2 Care.

People were supported to maintain a healthy diet, which considered their culture, needs and preferences, so their health was promoted, and choices could be respected. Access to healthcare professionals was supported.

Staff knew the person they were supporting very well and had developed a positive relationship with them. In our conversations with staff they displayed compassion, consideration and respect for people.

People said they could speak with their support worker or the manager if they had any worries or concerns and they would be listened to.

The service was well-led and well managed. Effective quality audit systems were in place.

This inspection took place on 2 August 2017 and short notice was given. We told the registered manager two days before our visit that we would be coming. This was to ensure we had time to arrange visits with and contact people who used the service and speak with the registered manager and staff.

This was the first inspection of the service. Anointed 2 Care registered with the Care Quality Commission (CQC) to provide the regulated activity of personal care in July 2016.

There was a manager at the service who was registered with CQC.

A registered manager is a person who has registered with CQC 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 and associated Regulations about how the service is run.

People told us they felt safe with the support they received from Anointed 2 Care.

We found people were not fully protected against the risks associated with medicines because the registered provider did not have appropriate arrangements in place to manage medicines and to ensure staff were appropriately trained.

There were appropriate numbers of staff employed to meet people’s needs and provide a flexible service.

We found some staff were not provided with a regular programme of training, supervision and appraisal. This meant staff may not have the latest knowledge and skills in key topics needed to deliver safe and effective care.

People had consented to receiving care and support from Anointed 2 Care. People who used the service told us they were encouraged to makes choices and decisions.

People told us their care staff were, “Fantastic,” “Angels” and “Lovely.” People had developed positive relationships with their regular care staff and said they looked forward to them visiting and enjoyed the time they spent with them.

People's care plans contained information about their care and support, including risk assessments and action plans. These were regularly reviewed and updated in line with the person's changing needs although the care plans were not in a standard format, somewhat disjointed and difficult to navigate around.

People told us they could talk to their care staff and the registered manager. They said they had regular contact with the registered manager and if they had any concerns or worries they were confident the registered manager and staff would listen to them and look at ways of resolving their issues.

There were a variety of methods available for the registered provider to assess and monitor the quality of the service; however, records of these checks were not being maintained. We found quality assurance processes were not effective in ensuring compliance with regulations and identifying areas requiring improvement and acting on them.

We found three breaches in the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were breaches in regulation12: Safe care and treatment, regulation 18: Staffing and regulation 17: Good governance.

You can see what action we told the provider to take at the back of the full version of the report.