Anglo Support and Housing Ltd received a Good rating across all five key questions at its first inspection in June 2023, demonstrating safe, well-managed domiciliary care for 7 people receiving personal care. Minor gaps in care planning (notably missing epilepsy guidance) and inconsistent staff engagement were identified but were being actively addressed by the proactive registered managers.
Concerns (4)
moderate
Care planning
: “one person had a diagnosis of epilepsy within their assessed needs. There was no information within the care plan to guide staff about the condition, how they should support the person when having a seizure”
minorRecord keeping: “People's risk assessments did not include information about how they could turn off water, gas, or electricity supply in the event of an emergency.”
minorCommunication with families: “A relative told us they had not seen the care plan and was not always assured what care their loved one was receiving.”
minorPerson-centred care: “A relative and a person told us they felt the staff did not know them well and did not always engage with them.”
Strengths
· People were supported by a small, consistent team of staff who knew them well, with new staff introduced before starting care.
· Safe recruitment practices including DBS checks were followed, and no new packages were taken on without sufficient staff.
· Care workers received comprehensive induction based on the Care Certificate, regular supervision, and annual appraisals.
· Medicines were managed safely with annual training, competency assessments, and monthly MAR audits.
· Electronic care planning system allowed real-time monitoring of care delivery and visit durations.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink; working with other agencies; supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships; support to follow interests and activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood