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Alexandras Community Care Penryn Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 October 2019

About the service

Alexandras Community Care is a domiciliary care service that provides personal care and support to people living in their own homes in the community. When we inspected the service was providing the regulated activity, personal care, to 40 people in and around the Penryn area in Cornwall.

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

People and their relatives told us care was delivered in a safe way and they had confidence in staff’s abilities. Identified risks related to people’s behaviour were not always clearly recorded, assessed and monitored. When allegations had been made these had not been appropriately recorded and reported.

Other risks had been assessed and guidance provided to enable staff to mitigate the risk.

Some people were supported with medicines. Medicine Administration Records (MAR) were completed appropriately to indicate when medicines had been taken. When medicines had been provided in blister packs neither the care plans or MARs individually listed each medicine or the support people would need to take them. This was not in line with national guidelines. We have made a recommendation about this in the report.

There were enough staff to cover all visits. People told us staff were usually punctual and stayed for the allotted time. Staff were able to complete personal care tasks and spend time with people talking and checking on their well-being.

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. The importance of providing care in line with people’s preferences and offering meaningful choices was a recurrent theme in our conversations with staff.

Staff told us they enjoyed their jobs and were committed to providing a caring service. They were keen to support people to maintain active lives and retain their independence as much as possible. Staff told us they were well supported by the registered manager and acting deputy manager.

People and their families were asked for their views of the service. They told us they were involved in care plan reviews and had opportunities to express their views of the service. People said they would be confident raising a complaint if necessary.

The registered manager and senior management team carried out various audits to monitor the service. These had failed to identify the shortcomings identified in the safe section of this report. We have made a recommendation about this in the report.

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

Rating at last inspection

The last rating for this service was Good (report published 7 March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to the systems to record and report allegations of abuse.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 3 October 2019

The service was not always safe.

Effective

Good

Updated 3 October 2019

The service was effective.

Caring

Good

Updated 3 October 2019

The service was caring.

Responsive

Good

Updated 3 October 2019

The service was responsive.

Well-led

Requires improvement

Updated 3 October 2019

The service was not always well-led.