24 July 2023
During an inspection looking at part of 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
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support:
The provider ensured risks were assessed and mitigated effectively; medicines were managed safely. Audits in place were robust enough to identify and address any ongoing issues.The ethos, values, attitudes and behaviours of leaders and care staff ensured people lead confident, inclusive, and empowered lives. Staffing levels were sufficient to meet people's needs and managers recruited staff safely. Staff followed an induction programme, and training was on-going throughout employment.
Staff thoroughly assessed people's needs before commencing a package of care. Care plans included information about support required in areas such as nutrition, mobility, and personal care to help inform care provision. Staff made appropriate referrals to other agencies and professionals when required.
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. People were supported by staff to pursue their interests and staff supported them to achieve their aspirations and goals.
Right Care:
Care was person-centred and promoted people’s dignity, privacy, and human rights. Staff promoted equality and diversity in their support for people and understood people’s cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity and understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The provider worked well with other agencies.
People’s care plans reflected their range of needs, and this promoted their wellbeing. People told us they were well treated, and their equality and diversity were respected. People felt staff considered their views when agreeing on the support required. Staff identified people's communication needs and addressed these with appropriate actions.
Right Culture:
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff knew and understood people well and were responsive to people’s needs. People received consistent care from staff who knew them well.
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 good (published 31 May 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Angel Care Services UK HQ and Support services 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.