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Archived: Angel Home Care Consultancy Ltd

Overall: Requires improvement read more about inspection ratings

Suite 13, 292 - 294 Plashet Grove, London, E6 1DQ 07490 717451

Provided and run by:
Angel Home Care Consultancy Limited

Latest inspection summary

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Background to this inspection

Updated 13 November 2019

The inspection

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 Care Act 2014.

Inspection team

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 in the community.

The service did not have a registered manager registered with the Care Quality Commission. 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.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with the provider and one care worker.

We reviewed a range of records. These included two people’s care records as well as records relating to the management of the service, including risk assessments and policies and procedures relating to the running of the service. We looked at three staff files in relation to recruitment, training and staff supervision.

After the inspection

We spoke with two people who used the service and two relatives about their experience of the care provided. We also spoke with two care staff.

Overall inspection

Requires improvement

Updated 13 November 2019

About the service

Angel Home Care Consultancy Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of the inspection it was providing a service to two people.

People’s experience of using this service and what we found

The provider was not always following safe recruitment practices or supporting staff sufficiently to ensure they employed suitable staff with the right mix of skills, competences, qualifications, experience and knowledge to meet people’s individual needs.

Systems for inducting and the ongoing support of staff were inconsistently applied.

Potential risks to people’s safety had been assessed. However, these were not being reviewed on a systematic and regular basis.

There was no registered manager in post and the provider had taken on all the duties of both the management and day to day administrative running of the service. Legal requirements were not always understood or met. Governance and performance management was not always reliable or effective.

People who used the service were positive about the provider and were able to contact them when they needed to.

People using the service and their relatives were positive about the care they received. They trusted the staff and felt safe with them.

Staff understood their responsibilities to keep people safe from potential abuse, bullying or discrimination. Staff knew what to look out for that might indicate a person was being abused.

Staff made sure no one was disadvantaged because of their age, gender, sexual orientation, disability or culture. Staff understood the importance of upholding and respecting people’s diversity.

Staff had been trained in the management of medicines and suitable policies and systems were in place.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was Good (published 25 May 2018).

Why we inspected

The inspection was prompted in part due to concerns we received about assessing risks, staff training, recruitment and support as well as the overall management of the agency. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

Enforcement

We have identified two breaches in relation to staffing and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.