About the service:

•Angel Court is a care home providing nursing and residential care. The home is registered to support a maximum of 60 people. At the time of the inspection there were 10 people living at the home. On the first day of the inspection people were living on both Michael unit and Gabriel unit but plans were in place to move people living on Michael unit to Gabriel unit. On the second day of the inspection, all 10 people were living on Gabriel unit.

People’s experience of using this service:

•People were not always safe. We found improvements were needed to the recruitment of staff to ensure procedures were robust and consistently applied.

•Some internal safety checks were had not been completed on a regular basis.

•Not all staff training was up to date. Where staff were responsible for the administration of people’s medicines, training and competency assessments were not completed in a timely manner. Not all staff had received fire training or attended a fire drill.

•There was no system in place to ensure regular feedback was gained from people, relatives and staff. There was no evidence regular audits had been undertaken by the registered provider or previous managers. Following the inspection, we were provided with an action plan but there was no evidence this had been followed up or identified actions addresses.

•Where things went wrong, prompt action had not been taken to reduce the risk of future incidents. The registered provider had failed in their legal duty to notify the Care Quality Commission of incidents which placed people at the risk of harm or resulted in the person being injured.

•During the inspection we observed the nurse and care workers to be kind, caring and respectful. People were supported to engage in a range of activities. Meal times were pleasant with people being offered choice, where people needed support, this was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

•People’s care records were person centred and detailed, although we identified some areas where improvements were needed to people’s records.

Rating at last inspection:

•This is Angel Court’s first inspection since its registration on 29 May 2018.

Why we inspected:

•This inspection was brought forward in response to concerns raised by the local authority regarding the lack of management stability at the home, the lack of management oversight by the registered provider and concerns about the financial stability of the registered provider.

Enforcement:

•The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’.

•Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months. The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe.

•If not enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will act in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement so there is still a rating of inadequate for any key question or overall, we will take action to prevent the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration.

•For adult social care services, the maximum