Alexandras Community Care Truro

Updated 28 November 2025

Date of assessment: 5 December 2025.

Alexandras Community Care Truro is a Domiciliary Care Agency (DCA) providing personal care to people living in their own homes. Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal care and/or support with eating and drinking. Where they do, we also consider any wider social care provided.

At the time of the assessment the service supported 122 people, 103 of these were receiving the regulated activity personal care.

The service is registered with CQC as supporting people with dementia, people with physical disabilities, and people with a sensory impairment. However, they were also supporting people with mental health conditions and people with a learning disability or autistic people. Therefore, we assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

This was a planned assessment of the safe and well-led key questions. The provider was previously in breach of the legal regulations in relation to safeguarding, recruitment and good governance. Improvements were found at this assessment and the provider was no longer in breach of these regulations.

At this assessment we found safeguarding processes had now been consistently followed, and action had been taken to protect people when potential safeguarding incidents were reported. The provider had updated systems to ensure staff were recruited safely. The provider had improved governance systems to drive improvements and looked to learn lessons when things went wrong.

There were enough staff to support people. Staff told us they felt well supported and received regular supervisions and spot checks. Staff training was regularly refreshed and specific training provided in response to people’s specific needs.

The service worked well with other healthcare professionals, escalating any health concerns to the relevant agencies appropriately.

Work had been completed with a local community group to enhance people’s lives. This had involved working with a multi-disciplinary team to identify how to provide a joined-up service for people in crisis..

Updated 28 November 2025

Feedback from people was mostly positive and people were happy with the care provided. One person stated, “The office staff are kind, polite and as helpful as possible in sorting out any issues that have occurred. They are very easy to contact”.

Some people said they would prefer to see the same carers more often, “To have a smaller team visiting on a regular basis to get to know of them properly, at the moment it feels too many different faces to remember”. Whilst another complemented the service having had the same carer. One person’s relative said, “We have now got one carer, who is very polite and knows relative’s routine and comes about 4 times a week. Brillant care. This is good for relative’s stability.”

No one reported having experienced a missed care visit and people said staff normally arrived on time. People’s comments included, “On the whole timing wise is pretty good and they stay their full time” and “My carer, we get on wonderfully well, lots of laughing going on”. A relative said, “On the whole carers are always very patient with [My relative]”.

Most people felt the carers did not share personal details about them and that carers would spend time chatting, smiling and being empathetic and providing enabling support..

The office informed people if carers were running late and most arrived on time.

People told us their concerns were listened to and addressed. One person commented, “When I raised a concern it was dealt with professionally and immediately”.