The dates of inspection were from 14 January 2026 to 12 February 2026. We visited the office on 14 and 30 January 2026. Angelcare UK Limited is a domiciliary care service, providing care and support for people living in their own homes. At the time of our assessment the service was supporting 37 people with personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. At the time of the assessment, the service was supporting 1 person with a learning disability. The provider demonstrated a consistently good standard of care across the service. There was a positive learning culture, with staff encouraged to report concerns openly and lessons from incidents routinely reviewed and embedded into practice. Safeguarding arrangements were effective. Although a small number of statutory notifications had been initially overlooked, the registered manager took immediate corrective action. People experienced safe, person-centred care supported by well‑established processes for assessing and managing risks. Risk assessments were detailed, kept up to date and informed staff practice. Infection prevention and control arrangements were established and effective. People and their families were involved in planning and reviewing care, and the electronic care system ensured staff had up‑to‑date information. Medicines were managed safely, with improvements made since the last inspection. Consent was sought appropriately, and staff understood their responsibilities under the Mental Capacity Act. Staffing was a notable strength. The provider ensured there were enough suitably skilled staff who received consistent supervision, training and development opportunities. Induction and competency processes were robust. People and relatives told us staff were reliable, well trained and provided good quality care, including exceptional end‑of‑life support informed by Gold Standard Framework (GSF) Leadership across the service was strong and inclusive. Both registered managers promoted an open, positive culture and staff described feeling valued and supported. Governance systems were effective and embedded. The provider was committed to continuous learning and innovation. They actively sought feedback from staff, people using the service and families, using this to shape improvements. Leadership also extended into the wider community through partnerships, mentoring and social action initiatives, demonstrating a commitment to social responsibility and high‑quality care.
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Angelcare UK Limited was rated Good overall at its August 2016 inspection, with strengths in safe recruitment, medication management, care planning and staff compassion. The Well-Led domain was rated Requires Improvement due to ineffective scheduling, insufficient travelling time between calls, gaps in audit activity and failure to analyse trends in complaints and late visits.
Concerns (6)
moderateMissed or late visits: “They started coming very late of an evening, they're supposed to come at 8pm but it's past 9pm now, no one rings to say they will be late.”
moderateGovernance: “There were no audits of staff rotas which would have identified not enough travelling time had been allocated.”
moderateGovernance: “No analysis of these was taking place to see if there were any common themes or trends emerging.”
moderateSupervision / appraisal: “Supervision records were not audited and we saw an issue had been raised in supervision by one care worker, which had not been followed up.”
minorStaff competency: “The registered manager acknowledged more 'spot checks' needed to be made to make sure staff were applying their training to their practice.”
minorCommunication with families: “They don't ring me to tell me if they are late or anything.”
Strengths
· Safe recruitment procedures in place including DBS checks and two written references before employment.
· Detailed care plans and risk assessments in place covering medicines, moving and handling, falls and nutrition.
· Staff demonstrated good knowledge of individuals' care needs and preferences.
· Medicines management systems effective with consistently signed MAR charts.
· People and relatives described care workers as kind, caring and helpful.
Angelcare UK Limited, a domiciliary care provider serving 105 people, was rated Requires Improvement overall at its March 2019 inspection, down from Good in 2016, primarily due to unclear medication records, persistent late calls, and gaps in consent documentation and governance audits. Caring and responsive practice were rated Good, with staff demonstrating genuine compassion and a robust recruitment process in place.
Concerns (6)
moderateMedication management: “some entries used the code 'O' (other) rather than being specific what 'O' meant...we were unable to determine if the medication was not required or had not been administered”
moderateMissed or late visits: “people and their relatives said they had received late calls and staff did not always stay for the allocated time”
moderateConsent / capacity: “some contracts were not signed...There was not sufficient evidence to confirm the organisation had taken all reasonable steps to obtain agreement from the person receiving the service”
moderateGovernance: “We did find shortfalls in some audit processes around care files and medication, however the registered manager was aware of these and was working on the process.”
minorCare planning: “there was little information about people's likes, dislikes and life histories. End of life information was not always discussed or thought of during the care planning process”
minorEnd-of-life care: “All except one care plan we looked at did not refer to any end of life wishes.”
Strengths
· Robust recruitment process including DBS checks and reference verification
· Staff demonstrated clear understanding of safeguarding policies and procedures
· Comprehensive induction programme with shadowing before unsupervised work
· Staff treated people with dignity, respect and compassion; people spoke fondly of staff
· Clear complaints process in place with copies available in people's homes
Quality-Statement breakdown (23)
safe: Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Staff working with other agencies to provide consistent, effective, timely careRequires improvement
caring: Promoting independence
Good
responsive: Care planning and reviewGood
responsive: Complaints handlingGood
well-led: Scheduling and call monitoringRequires improvement
well-led: Audit and governance systemsRequires improvement
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: Supporting people to live healthier lives, access healthcare services and supportGood
caring: Ensuring people are well treated and supported; 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 meet people's needs, preferences, interests and give them choice and controlGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportRequires improvement
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Planning and promoting person-centred, high-quality care and supportRequires improvement
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood