Angelcare Residential Living

Updated 13 May 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Angelcare Residential Living is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Angelcare Residential Living is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be able to support the inspection.

What we did before the inspection

Before our inspection, we looked at all the information we held about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager and three care staff. We spoke with five people and observed staff interacting with them. We spoke with two relatives. We reviewed three people's care records. We reviewed records and audits relating to the management of the home. We asked the registered manager to send us further documents after the inspection. These were provided in a timely manner and this evidence was included as part of our inspection.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 13 May 2022

About the service

Angelcare Residential Living is a care home, providing accommodation for up to 23 persons who require personal care. The service provides support to older people, people who may be living with dementia, people with physical disabilities, people with sensory impairments, and younger adults. At the time of our inspection there were 17 people using the service.

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

People were kept safe from risk and harm and staff had a good understanding of safeguarding processes. Risk assessments were robust and relevant. People’s dependency assessments had been regularly carried out to ensure staffing levels were appropriate. Medicines were managed safely. Systems were in place to reduce the risk of the spread of infection. Accidents and incidents were reported and analysed in a timely manner.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were trained to deliver care specific to the needs of people. People said the food was good and there was choice available. The environment was well maintained and designed to meet the needs of people. People told us staff were polite and always asked before providing support. People and/or families were involved in decisions about their care needs.

Changes in peoples’ needs were identified and communicated to health professionals in a timely manner. Peoples’ communication needs were met. Visiting arrangements were in line with current Government guidance.

There were a range of activities available for people. The provider had a compliment and complaint system in place and people felt comfortable speaking to the registered manager. Where needed, changes were made to the service by the provider following consultation with people.

The provider was well organised, and the registered manager had a clear vision for the service. People we spoke with said they knew the managers by name and said they were approachable and friendly. The provider had clear audit processes in place to ensure good quality care.

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

Rating at last inspection

This service was registered with us on 8 April 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.