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Cornerstone Care Services Professionals Ltd Inadequate

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 3 October 2019

About the service

Cornerstone Care Services Professionals Ltd is a domiciliary care agency that provides personal care to people living in their own homes. At the time of our inspection the service was supporting five people.

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

The service did not appropriately respond to and report allegations of abuse to keep people safe. Staff were not recruited in a safe manner to ensure they were fit to provide care and support to people. The deployment of staff did not meet people’s needs. Accidents and incidents were not recorded and analysed to prevent recurrence. We found that medicines were not always managed in a safe way and people’s risks were not recorded to ensure staff knew how to keep people safe.

The systems in place did not ensure staff were supported and had access to training to enable them to provide effective care and support. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Assessments were not undertaken to determine people's needs before they moved into the service. The service did not work with other relevant healthcare professionals to ensure people were safe.

It was not always clear that people were involved in the planning and reviewing of their care. Care plans did not ask questions about all the protected characteristics relating to equality and diversity. Staff were not aware of how to protect people from discrimination. People were not always encouraged to be as independent as possible.

We recommended the provider review procedures to ensure equality and diversity is considered at all levels of care and ensure people’s independence is promoted.

Staff were not equipped with the skills to provide end of life care to people and people were not given an opportunity to discuss their end of life wishes.

The governance systems in place did not identify the shortfalls we found during our inspection.

People were protected from the risk of harm associated with the spread of infection.

People's nutritional needs were met.

People told us they were treated in a caring manner by staff. Staff understood how to support people in a way that respected their dignity and privacy.

People told us they received individualised care that met their needs. The care plans discussed people's preferences. People’s care plans were recently reviewed to ensure their needs were documented and up to date. Information could be made available to people in an accessible format. People told us they felt able to make a complaint and were confident that complaints would be listened to and acted on.

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 requires improvement (published 28 September 2018). The service is now rated inadequate.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the full report.

Enforcement

We have identified breaches in relation to safeguarding people from abuse; recruiting staff that are suitable for the role; providing safe care and support to people; obtaining consent from people to receive care and support; ensuring staff are well supported and trained to provide effective care; person centred care and overall governance.

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

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their ratin

Inspection areas

Safe

Inadequate

Updated 3 October 2019

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 3 October 2019

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 3 October 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 3 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 3 October 2019

The service was not well-led.

Details are in our well-Led findings below.