Background to this inspection
Updated
27 November 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This was a comprehensive inspection.
The inspection took place on 9 November 2018 and was announced. We gave the registered manager 48 hours’ notice of our inspection. This is the methodology we use for this type of service to ensure that there was someone available to assist us in the office. The inspection was carried out by one inspector and an expert by experience. The expert by experience carried out telephone conversations with people to obtain their feedback. An expert by experience is someone who had experience of caring for a person who may use this type of service.
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This enabled us to ensure we were addressing potential areas of concern at our inspection.
As part of our inspection we spoke with seven people and one relative who received care from the agency. We also spoke with the registered manager and two senior managers as well as three staff members.
We reviewed a range of documents about people’s care and how the home was managed. We looked at six care plans, three staff files, medication administration records, risk assessments, complaints records, policies and procedures and internal audits that had been completed.
Updated
27 November 2018
Amazing Angels is registered to provide personal care to people in their own home. The service is registered to care for people living with dementia, a mental health condition, physical or sensory disability and younger adults. At the time of our inspection the service was caring for 45 people.
This announced inspection took place on 9 November 2018.
At out last inspection, the service was rated Good. At this inspection we found the service remained Good.
People were supported by sufficient, skilled staff to meet their needs and robust recruitment processes were in place to ensure only suitable staff were employed. Staff received on-going training, induction and supervision to support them in their roles. Staff were aware of their responsibilities in safeguarding people from abuse. Risks to people’s safety were identified and control measures implemented to keep people safe. People received their medicines safely and in line with prescription guidelines.
People were supported to have choice and staff considered the requirements of the Mental Capacity Act 2005 when assessing people’s capacity to receive care.
People told us staff treated them with kindness, showed them respect and enabled them to make choices about their care. People were cared for by a sufficient number of staff. Staff said they had access to personal protective equipment to help avoid the transfer of infections.
The agency worked with professionals to ensure that people’s healthcare needs were met. People had access to the food of their choosing. People’s care records contained good information in relation to their care needs. Care plans were regularly reviewed and updated to ensure staff had up to date guidance regarding people’s care. Where people had complained about the service, their complaint was fully investigated and responded to.
We received positive feedback about the management of the agency and staff told us they enjoyed working for Amazing Angels and felt valued. Systems were in place to monitor the quality of service the agency provided and to ensure continuous development. The service worked proactively with other agencies. Where significant incidents or safeguarding concerns had arisen, the registered manager had notified CQC.