Date of assessment: 22 January 2025 to 11 February 2025. Aamevol Northamptonshire is a domiciliary care agency supporting people with personal care living in their own homes. People may be living with dementia or physical support needs. We identified 4 breaches of the Health and Social Care Act (2014) in relation to safe care and treatment, staffing, the safe recruitment of staff and good governance. Risks to people's health and safety were not always well assessed and managed. Processes were not in place to manage or monitor safe staffing levels or incidents and accidents. Improvement was needed in relation to staff recruitment practices. Medicines were not always safely managed. People’s care needs were not thoroughly assessed. It was unclear how staff worked with other professionals to promote good outcomes for people. Staff training and competence in their job roles was not being effectively checked. Care was not always person centred and staff did not always know people well as individuals. Audits and other governance measures were not being completed in many areas. Where audits were being completed these were not effective in identifying where improvements to the service and people’s experiences could be made. The registered manager did not have effective oversight of many aspects of the service. However, people told us they were mostly happy with their support. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service has been placed into special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
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Visiting Angels Northamptonshire was rated Good across all five key questions at its first inspection, with people and families consistently praising the reliable, kind and person-centred care delivered by a small consistent staff team. Strong recruitment, training, medicines management, electronic record-keeping and approachable leadership underpinned a positive, transparent culture with robust quality monitoring.
Strengths
· Robust recruitment process including DBS checks and structured induction with shadowing
· Reliable service with staff arriving on time and staying for agreed length of time
· Safe medicines management with staff trained and competency checked
· Strong infection prevention and control practices, including PPE use and COVID-19 screening
· Comprehensive person-centred assessment and care planning involving people and families
Quality-Statement breakdown (23)
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 enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcareGood
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; end of life care and supportGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive, person-centred, open and empowering cultureGood
well-led: Duty of candour and openness when things go wrongGood
well-led: Managers and staff being clear about roles, quality, risks and regulatory requirementsGood
well-led: Engaging and involving people, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood