KT's Care Angels Ltd

Updated 21 July 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.

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 experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 26 May 2022 and ended on 06 June 2022. We visited the location’s office on 26 May 2022.

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 and professionals who work with 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

During the inspection we spoke with nine people that use the service and eight relatives about their experience of the care provided. We spoke with the registered manager, the compliance officer, care co-ordinator and five staff members. We reviewed a range of records. This included six people's care records and multiple medication records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 21 July 2022

About the service

KT’s Care Angels Ltd is a domiciliary care agency. The service provides personal care to people living in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided. At the time of the inspection the service was providing personal care to 44 people.

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

People told us they felt safe with the staff who supported them. Risks were assessed and managed.

People were supported by sufficient numbers of staff. People we spoke with confirmed they did not experience any missed calls. When accidents and incidents occurred these were documented, and action was taken to ensure people had access to the healthcare support they needed.

Staff showed a good understanding of safeguarding, and supported people to take their medicines safely. People and relatives we spoke with told us staff wore appropriate Personal Protective Equipment (PPE) when supporting them.

People were provided with personalised care to meet their needs. This included supporting people to access information in a way that was meaningful to them. People told us they were happy with the care provided and knew how to raise concerns if and when they needed to.

Staff spoke positively about the support they received and the quality of the service.

The service promoted high quality, person centred care and had an open and honest culture. Audits and checks were in place to monitor the quality of the service. The registered manager was approachable and supportive and provided strong leadership to the team.

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 and update

The last rating for this service was requires improvement (published 10 January 2020).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we made a recommendation about person centred care planning and monitoring staff deployment. At this inspection we found the provider had acted on the recommendations and had made improvements.

Why we inspected

We carried out an announced comprehensive inspection of this service on 24 October 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for KT’s Care Angels Ltd on our website at www.cqc.org.uk.

Follow up

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