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Archived: Camborne STEPS Good

The provider of this service changed - see old profile

This service is now registered at a different address - see new profile


Inspection carried out on 11 July 2016

During a routine inspection

We carried out this inspection on 11 and 12 July 2016 and it was announced 48 hours in advance in accordance with the Care Quality Commission’s current procedures for inspecting domiciliary care services. This was the first inspection for the service since registering as a new provider, Cormac Solutions Limited, in October 2015. Cormac Solutions Limited is a company wholly owned by Cornwall Council. The service was last inspected in November 2013, when the registered provider was Cornwall Council; we had no concerns at that time.

Camborne STEPS (Short Term Enablement and Planning Service) is registered to provide personal care to people in their own homes. The service provides care visits for periods of up to six weeks. The aim of the service is to re-enable people to maximise and re-gain their independence, within their own home, after a period of illness and/or hospital stay. The service provides support to adults of all ages. On the days of the inspection the service was providing personal care to 28 people. Referrals for packages of care were made to the service by health and social care professionals. These included; hospital discharge teams, physiotherapists and occupational therapists.

There was a registered manager in post who was responsible for the day-to-day running of the service. 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.

People told us they felt safe using the service commenting, “They [staff] make me feel safe and secure” and “The service is amazing, I wish I had had them sooner.”

People told us staff were caring and compassionate in the way they supported them and were respectful of their privacy and dignity. Comments from people included, “I look forward to staff coming”, “I enjoy the chats I have with staff”, “They [staff] have been fully supportive, they are brilliant” and “Staff are always cheerful.”

People told us they had regular staff, they knew the times of their visits and were kept informed of any changes. People told us the service was reliable and no one reported ever having had any missed visits. We were told that staff did not rush people and provided care and support at their pace, focusing on enabling them to do as much as possible for themselves. People praised staff on how they encouraged and helped them gain the confidence they needed to meet their goals. People commented, “STEPS has changed my mind-set, I have become more positive in my approach. I was focusing on what I couldn’t do and staff have made me see what I can do”, “Staff have really listened to me and given me confidence”, “They have been encouraging but not in a pushy way “and “By the second visit I knew that this was a different service.”

Staff were knowledgeable about the people they cared for and responded appropriately as people’s needs changed. The registered manager ensured staff received appropriate training and supervision. New staff received an induction, which incorporated the care certificate. Staff spoke with passion and kindness about the people they supported and were clearly committed to providing a responsive and caring service in line with people’s agreed goals. Comments from staff included, “I enjoy my job”, “I find it very rewarding seeing people progress” and “I love the interaction with people and supporting them to be more independent.”

People were involved in decisions about their care and the development of their goals and aspirations. Care plans provided staff with clear direction and guidance about how to meet people’s individual reablement needs and goals. Care plans were reviewed weekly to evaluate the progress people were making against their overall goals and agree the next steps for the following week. Any r