Ambiance Care Limited

Updated 20 October 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was completed by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since it had registered with CQC. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of a monitoring activity that took place on 22 August 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager. We reviewed a number of records including 3 people’s care plans and daily records, 2 staff members recruitment files, rotas, policies, and systems for governance. We spoke with 6 people and their families, to understand their experiences of receiving support. We obtained feedback from 3 members of staff who worked at the service.

Updated 20 October 2023

About the service

Ambiance Care is a care at home service which provides personal care to people living in their own homes, specialising in supporting people living with dementia to remain safely in their own homes. At the time of our inspection there were 7 people receiving a regulated activity at the service. Not everyone who used the service received personal care. Care Quality Commission (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.

People’s experience of using this service and what we found

People told us staff were exceptionally kind and caring and went to exceptional lengths to meet people’s needs. Independence, respect and dignity were considered in all aspects of care delivery. People felt involved in their care, and well supported by a service that was flexible to meeting their changing needs and went above and beyond.

People received highly personalised care and were enabled to access a wide range of activities and interests and live a full life. People and families all felt able to raise concerns and were confident action would be taken in response where this was needed.

People felt safe and care was provided by a consistent team of staff who knew their needs and had been safely recruited. People received the support they needed to take their medicines. Their needs and risk were continually assessed and managed. There were systems in place to ensure lessons were learnt if things went wrong.

People’s needs were assessed, and choice promoted. People were aided to access other services as needed and told us staff helped them appropriately to eat and drink well. People felt staff were very well trained and staff told us they felt they had all the training they needed and were very well supported in their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People spoke very highly about the service. People were benefiting from the approach taken by the service and the ethos and values of person centred care were embedded in all aspects of the care delivered. People and families consistently told us they would highly recommend the service, and the outcomes for people and their families were exceptionally good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 8 September 2020, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.