Updated 21 August 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 and an expert by experience. An expert by experience is a person who has personal experiences of using, or caring for someone, who uses this type of care service.
Service and service type
Angels Healthcare Ltd is a domiciliary care agency. It provides personal care to people living in their own homes, including younger adults, older people, people with physical disabilities, people living with dementia and mental health needs, sensory impairments or physical disabilities. CQC regulates the personal care provided.
The service had a 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
This comprehensive inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 23 July 2019 and ended on 7 August 2019. We visited the office location on 7 August 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with nine people who used the service and six relatives, by telephone, to obtain their views of the service provided. We spoke with five members of staff including the provider, registered manager, a senior care worker and two care workers.
We reviewed three people's care and medicine records, to ensure they were reflective of their needs. We looked at three staff files in relation to recruitment and staff supervision and a range of records relating to the management of the service, including audits and checks, people’s and relatives’ feedback about the service and policies and procedures.