Background to this inspection
Updated
24 April 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
¿ The inspection was carried out by one inspector.
Service and service type:
¿ Angy Care is an independent domiciliary care agency which provides personal care and support for people in their own homes. The only person receiving care and support had a range of complex needs.
¿ The provider and registered manager registered with the Care Quality Commission. This means that both the provider and registered manager are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
¿ This was a comprehensive inspection, which took place on 19 and 21 March 2019 and was announced. The provider was given 48 hours' notice of the inspection as we needed to be sure that the office was open, and staff would be available to speak with us.
What we did:
¿ We reviewed information we had received about the service since registration with Care Quality Commission on 15 June 2017. This included details about incidents the provider must notify us about, such as abuse or when a person dies.
¿ Due to technical problems, the provider was not able to complete a Provider Information Return. 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 relative of the person using the service, two workers and the registered manager. We did not request any feedback from healthcare professionals. This was because the agency was not directly working with healthcare professionals involved in the person’s care. The person receiving care and support was a private client.
¿ We reviewed the person’s care records, risk assessments and daily records. We also looked at two staff files including their recruitment, supervision and training records. We reviewed records relating to the management of the service and a variety of policies and procedures implemented by the provider.
Updated
24 April 2019
About the service:
¿ Angy Care is an independent domiciliary care agency which provides personal care and support for people in their own homes. The agency provides care for people in the Gravesend area of Kent. At the time of our inspection, they were only supporting one person who was a private client with complex needs who received support with personal care tasks.
People’s experience of using this service:
¿ A relative told us they felt safe with the staff who knew how to meet their relative’s needs, in the way they preferred.
¿ Care plan contained risk assessments, which was appropriately linked to their support needs.
¿ Processes were in place to identify and reduce any environmental risks to people and care workers.
¿ The service was not working according to the Accessible Information Standard (AIS) and its requirements during our inspection. This meant that the person might be unable to communicate effectively with care workers or understand what was going on and be involved in decision-making. This was an area for improvement.
¿ The service did not have effective systems in place to assess, monitor and improve the quality and safety of the services provided at the time we inspected. However, a new quality audit document was being implemented. This would ensure robust monitoring of the service by the registered manager. This was an area for improvement.
¿ The person’s needs were assessed prior to receiving a service including the protected characteristics under the Equalities Act.
¿ Staff were skilled in carrying out their role. Appropriate care workers were employed to meet the person’s needs. Staff said they were supported by the registered manager.
¿ A relative told us the staff were caring and respectful; staff promoted the person’s privacy and dignity at all times.
¿ People were encouraged to raise any concerns they had or make suggestions to improve the service they received.
¿ Staff felt there was an open culture where they were kept informed about any changes to their role. Staff told us the registered manager was approachable and listened to their ideas and suggestions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
¿ This was the first inspection of this service. The service is rated Requires Improvement.
Why we inspected:
¿ This was a planned comprehensive inspection.
Follow up:
¿ We will continue to monitor the service through the information we receive. We will carry out another scheduled inspection to make sure the service improves.