The inspection took place on the 1 May 2018 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. The service first became operational in November 2017. It has been registered at its current location since October 2017. This was the first inspection of the service.

Angel Home Care Consultancy Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of the inspection it was providing a service to three people.

There was a registered manager at the service at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Relatives told us they felt the service was safe, staff were kind and the care received was good. We found staff had a good understanding of their responsibility with regard to safeguarding adults.

Risk assessments were in place which provided guidance on how to support people safely. Medicines were managed in a safe manner. There were sufficient numbers of suitable staff employed by the service. Staff had been recruited safely with appropriate checks on their backgrounds completed. People were protected by the prevention and control of infection.

Staff undertook training and received regular supervision to help support them to provide effective care. However we found supervision records were generic and lacked detailed for personal development. We have made a recommendation about supervision.

Staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA). MCA is law protecting people who are unable to make decisions for themselves. People who had capacity to consent to their care had indicated their consent by signing consent forms

Person centred support plans were in place and people and their relatives were involved in planning the care and support they received.

People’s cultural and religious needs were respected when planning and delivering care. Discussions with staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

The service had an end of life policy for people who used the service. However the service did not explore people's end of life wishes during the initial needs assessment and care planning. We have made a recommendation about supporting people with end of life wishes.

The provider had a complaint procedure in place. People and their relatives knew how to make a complaint.

Staff told us the registered manager was respectful, knowledgeable and communicated well. The service had various quality assurance and monitoring mechanisms in place.