Angelina Care

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safeguarding systems, processes and practices were effective to help ensure people were protected from the risk of abuse and neglect. Robust recruitment practices ensured that all staff, were safe, suitably experienced, competent, and able to carry out their role. There were appropriate staffing levels and skill mix to make sure people received consistently safe, good quality care that was person centred. Staff received training that was relevant to their roles and responsibilities. Staff told us they were well supported by the registered manager.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

During the site visit, we received positive feedback from people who lived at the service. One person told us, “I feel happy and safe living here.” Another person said, “I feel that I am well looked after by the staff.”

We saw records confirming the registered manager had made referrals to the local authority safeguarding team and notified CQC when appropriate.

People appeared to be relaxed and safe in their surroundings. They told us they felt safe. Comments from people included, “I feel very safe and secure here. There is always staff around when I need them. The front door is closed and secure, I feel safe with the staff here.” and “I feel safe living here. Enough staff plenty on all the time, 2 staff is enough for what we need.”

There were safeguarding adults and whistle blowing procedures in place. Staff had received training on safeguarding adults. They told us they would report any abuse or poor care practice to the registered manager, they were confident the registered manager would make a referral to the local authority safeguarding team if they needed to. Staff received training on fire safety and health and safety awareness. The provider had health and safety policies and procedures in place to guide staff on how to work safely.

People were supported to take risks balanced on their safety and their health care needs. One person told us, “I know I have a care plan and risk assessments. I feel that I am well looked after by the staff. I have a keyworker called and we talk about the things I need.” Another person said, “I have a care plan and a keyworker. I know what is in my care plan. I have a risk assessment for walking carefully. I have seen that risk assessment. I am involved in care planning with my key worker.”

Staff were familiar with people’s daily routines and preferences, and could identify situations where people may be at risk. For example, staff knew how to prevent or de-escalate behaviours that were an expression of people’s distress. Staff told us how they supported people with road safety, eating and drinking safely and with specific medical conditions.

We observed staff support a new person moving into the home. The person was quite agitated however the registered manager and staff supported them with care and understanding.

We saw people's risk assessments were generic and did not provide in depth, individualised information about associated risks. This did not indicate the provider had worked with people to manage risks so they could be supported with individualised care. We discussed this with the registered manager, who took steps to speak with people and revise the risk assessments so they were personalised and person centred. Following the site visit, the registered manager revised the risk assessments. The new assessments were individualised and comprehensive, enabling staff to support people in a safe, supporting and personalised manner. We saw that people had had individual personal emergency evacuation plans (PEEPS) which highlighted the level of support they required to evacuate the building safely.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

People we spoke with told us there were enough staff to support them with their needs. One person told us, “There is always enough staff here. If I need to go somewhere there are enough staff.” Another person said, “There is always enough staff in the day and during the night. If I need them, they will come to help me.” A third person told us, “There are plenty of staff on duty all the time, 2 staff is enough for what we need.

Staff confirmed there were enough staff available to meet people’s needs. A staff member told us, “There are always plenty of staff on duty on all shifts. We get extra staff when people have planned activities or health care appointments.” We saw a staffing rota. The registered manager told us rota was arranged according to people’s needs. Extra staff were added when required for planned activities and appointments.” The registered manager and deputy manager told us, and the staff rota confirmed, they maintained a visible presence within the service to monitor interactions and make improvements where necessary. Staff told us how they supported people with road safety, eating and drinking safely and with specific medical conditions.

Staff were familiar with people’s daily routines, preferences, and could identify situations where people may be at risk. For example, staff knew how to prevent or de-escalate behaviours that were an expression of people’s distress. We observed staff support a new person moving into the home. The person was quite agitated however the registered manager and staff supported them with care and understanding.

Systems and processes helped ensure staff training and supervisions were up to date and supported best practice. Safe recruitment procedures were followed. Pre-employment checks had been completed and written references were validated. Disclosure and Barring Service (DBS) checks had been carried out for all staff. A DBS check allows employers to check whether the applicant has had any past convictions that may prevent them from working with vulnerable people.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.