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Continuum Care (Cornwall) Good

Inspection Summary

Overall summary & rating


Updated 4 June 2021

About the service

Continuum care (Cornwall) is a domiciliary care agency which provides support to people in their own homes. It operates in Falmouth and Truro and the surrounding areas. At the time of the inspection the service was supporting 50 people. It consists of two parts, a traditional domiciliary care service that provides short regular visits to predominantly older people living in their own homes and a supported living service which provides longer visits to support people with learning disabilities and autism.

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

At our last inspection we found some of the services records lacked detail and guidance for staff. At this inspection we found improvements had been made. Recording of people’s medicines had more detail to support staff and training had been put in place. Auditing procedures had been reviewed and a more robust system was now in place.

People received visits on time and if any delays occurred people were informed by the service. People told us, “Arrive on time unless emergency with someone before me and then they ring to say” and “About the same time each day, expected time, they come, no missed calls”. People using the supported living service told us they were very happy with the support they received. One person told us, “Go out most days with [support worker]. I get on with them all.”

There had been gaps in staff training during the COVID-19 pandemic and the restrictions had meant some training had been delayed. This was being addressed by the manager. A training plan was in place for all staff. Training had resumed in April and the plan was to ensure all training updates would be completed by September 2021. Training was designed to be specific to the needs of people each staff would be supporting. For example, staff working in the supported living service had training in managing the needs of people with autism or had a learning disability.

Records showed people’s needs were assessed and recorded and external advice was regularly sought to help ensure the support people received met best practice. People told us they felt safe whilst receiving support from the service. Staff understood their responsibilities to keep people safe and report any concerns. The provider had ensured there were sufficient records and checks in place to maintain and promote people’s safety.

People told us they received the right support with food and drink, medicines and any healthcare needs. Records showed that any problems were highlighted and dealt with promptly.

Staff were aware of the government guidance on the use of personal protective equipment (PPE) such as masks, gloves and aprons. The service made available COVID-19 testing kits for all staff. We advised the provider continues to promote this as good practice.

Staff were recruited safely. The service had continued to recruit throughout the COVID-19 pandemic, to ensure there were enough staff to cover for sickness or for staff who needed to shield or self-isolate.

People were generally satisfied with the governance of the service. Staff told us communication with the management team had improved and they felt well supported.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right c

Inspection areas



Updated 4 June 2021

The service was safe.

Details are in our safe findings below.



Updated 4 June 2021

The service was effective.

Details are in our effective findings below.



Updated 4 June 2021



Updated 4 June 2021



Updated 4 June 2021

The service was well-led.

Details are in our well-Led findings below.