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Continuum Care (Cornwall) Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 June 2019

About the service: Continuum 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 our previous inspection only four people were using the service and there were very few staff employed. At this inspection the service had grown and 23 people were using the service. Care visits lasted between 30 minutes and three hours and usually took place at key points in the day when people needed assistance getting up or going to bed or support with meals.

People’s experience of using this service: Care plans were in place and covered a wide range of areas including communication, mobility, health history and descriptions of routines where these were important to people. Medicine care plans lacked detail and were not completed in line with the relevant national guidelines.

Some people had been identified as being at risk due to their health or living situation. Risk assessments were developed to inform staff but these lacked guidance and did not consistently reflect people’s circumstances.

During the inspection we identified three members of staff who were working without the appropriate background checks in place. We raised this with the registered manager who assured us these staff would be taken off the rota until the checks had been completed.

There had been a recent turnover of staff and more staff were being recruited at the time of the inspection. Visits were being covered by existing staff with occasional support from agency workers. The registered manager frequently covered shifts and was well known and liked by people using the service.

People told us visits were not missed or late without their prior knowledge and agreement. They were highly complimentary of the service provided and of the registered manager. Staff were caring and supportive in their approach. One person commented; “They have never, never been disrespectful.”

Staff told us they were well supported by the registered manager and senior care worker. Team meetings were held regularly and management were described as approachable. One member of staff told us; “One of the best bosses I’ve ever worked for, he listens and is fair.”

Systems to audit, monitor and develop the service were not sufficiently embedded or consistently followed. For example, there was no training matrix in place and audits had failed to highlight the need to complete pre-employment checks.

Rating at last inspection: Due to the small size of the service we did not award a rating at the previous inspection. (Last report published November 2018)

Why we inspected: This was a scheduled inspection which was planned to enable us to rate the service.

Enforcement: Please see the ‘action we have told the provider to take’ section towards the end of the report

Follow up: We have asked the provider to produce an action plan addressing the areas of concern found at this inspection. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 15 June 2019

The service was not always safe

Details are in our Safe findings below

Effective

Good

Updated 15 June 2019

The service was effective

Details are in our Effective findings below

Caring

Good

Updated 15 June 2019

The service was caring

Details are in our Caring findings below

Responsive

Good

Updated 15 June 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Requires improvement

Updated 15 June 2019

The service was not always well-led

Details are in our Well-Led findings below