Alexandras Community Care Truro

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..

Date of Assessment: 13 August to 28 August 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 DCAs where people receive personal care. This is help with tasks related to personal hygiene 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 111 people, 92 of those were receiving the regulated activity personal care. The service is recorded 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 problems and people with a learning disability or autistic people. Therefore, we considered 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 all quality statements under the key questions of safe, effective, caring, responsive and well-led.We found safeguarding processes had not been consistently followed and action had not been taken to protect people when potential safeguarding incidents were reported. Systems to help ensure safe recruitment had not always been adhered to. Systems to monitor the service and drive improvements were not robust. There was a lack of reflective practice to help ensure lessons were learned when things went wrong.

There were enough staff to support people. They told us they felt well supported and received regular supervisions and spot checks. Staff completed training in core subjects the provider had identified as necessary for the service. However, not all staff had received training in supporting people with a learning disability or autistic people. Mental health awareness training was provided at induction, but this was generic and did not address people’s specific needs.

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

Work had been completed with a local community group to enhance individuals’ lives.

We identified 3 breaches of the regulations in relation to safeguarding, recruitment and good governance.

In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.

We have asked the provider for an action plan in response to the concerns found at this assessment.