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Continuum Care (Cornwall) Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 July 2020

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. The service had grown significantly since our previous inspection and now supports around 40 people. It consists of two parts, a traditional domiciliary care service that provides short regular visits to predominantly older people living in the own homes and a supported living service which provides longer visits to support people with learning disabilities.

This targeted inspection was completed in response to information of concern related to people's privacy and dignity that was reported to the Commission. As a result, we reviewed the service’s risk management procedures, staffing arrangements and incident investigation processes to ensure people receiving supported living care were safe.

The service’s risks management procedures were appropriate and designed to ensure people’s safety. Individual areas of risk had been identified and staff were provided with specific training and guidance on how these risks should be managed.

All incidents had been documented and investigated by the registered manager, to identify any areas of learning or changes that could be introduced to improve the quality of support people received. Records showed that learning from incidents had led to people’s care plans being updated so all staff were aware of people’s current support needs.

The service was well staffed and all planned support visits had been provided during the COVID-19 pandemic. The service’s recruitment practices were now safe and all necessary checks had been completed to ensure staff were suitable for employment in the care sector. Staff had received appropriate training and were confident they had the skills and knowledge necessary to meet people’s support needs. They told us, “I have all the support I need”, “[The registered manger] had a very cautious approach to putting you to work on your own. He definitely didn’t leave you until you were completely ready.”

People and relatives felt the service was safe and had impacted positively on people’s wellbeing. A relative told us, “We are seeing really positive changes in [persons name’s] communication and we can’t thank them enough for that. One person said, “I feel safe with them, they do what I need them to do.”

Staff told us they were well supported by their managers and had received regular supervision and support. Staff comments in relation to the service management included, “They are really on the ball. [the registered manager] is a fair guy always ready to listen and open to suggestions”, “I am very impressed with the company and the fact that [the registered manager] and [care manager] work with the clients and understand their needs” and “[the managers] are very nice people, very caring and thoughtful. They do look after us very well”.

Rating at the last inspection

This service was previously inspected in May 2019 when it was found improvements were required in relation to people’s safety and the service’s leadership.

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the

service. The inspection was prompted in part due to concerns received about service’s systems for the management of risk, staffing arrangements and incident investigation processes. A decision was made for us to inspect and examine those risks.

CQC have introduced targeted inspections to investigate specific concerns or follow up on Warning Notices during the COVID 19 pandemic. They do not look at an entire key question, only the part of the key question we are specifically concerned about.

Targeted inspections do not change the rating from the previous inspection. This is because they do not

assess all areas of a key question.

Follow up

We will continue to monitor information we receive about the service until we return to

Inspection areas

Safe

Requires improvement

Updated 31 July 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 31 July 2020

Caring

Good

Updated 31 July 2020

Responsive

Good

Updated 31 July 2020

Well-led

Requires improvement

Updated 31 July 2020