11 July 2023
During a routine inspection
Angelica Care is a domiciliary care agency providing personal care to people living in their own homes. The service provides support to people living with dementia, health conditions and general frailty. At the time of our inspection there were 62 people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
There was a failure to assess and mitigate risks to some people. Care records lacked guidance to ensure people received consistent and safe support. There was not an adequate process for assessing and monitoring the quality of the service. Processes were not in place to review accidents and incidents. Staff were not always recruited safely or trained.
People were happy with the care they received and felt safe with the staff that were supporting them. People told us they received a reliable service and calls were never missed. There were enough numbers of staff to ensure people did not feel rushed and people received their support on time.
Staff told us it was a good place to work. The culture of the service was positive, and people and staff were complementary of the registered manager. People and their relatives spoke positively about the management and delivery of the service.
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.
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 13 April 2022, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. This was the first inspection for this newly registered service.
Enforcement
We have identified breaches in relation to managing risks, staff recruitment and training and the governance of the service at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.