Continuum Care (Cornwall) retained its overall Good rating across the three inspected key questions (Safe, Responsive, Well-Led), with particular strengths in person-centred supported living care for people with learning disabilities. Minor shortfalls were noted around MAR transcription accuracy and domiciliary staffing recruitment challenges, with a recommendation issued on medicines record-keeping.
Concerns (4)
moderateStaffing levels: “The service was experiencing some difficulties in recruiting staff who were able to drive to join the domiciliary care team. As a result, the provider was not currently taking on additional packages.”
minor
Medication management
: “Where information had been transcribed onto MAR charts by staff, this information had not been consistently checked to ensure its accuracy.”
minorMissed or late visits: “Missed visits had occurred infrequently. The most recent missed visit had occurred out of office hours when a staff member had misread their rota.”
minorGovernance: “In relation to a recent incident, required notification paperwork had been completed but not received by the commission.”
Strengths
· Supported living service was well staffed with consistent shift coverage and positive outcomes for people with learning disabilities
· Strong person-centred culture with staff matching to individual personalities and interests, enabling people to live fulfilling, independent lives
· Effective safeguarding systems with good staff understanding of local procedures and financial abuse protections
· Robust risk assessment and positive behaviour management techniques tailored to individual needs
· Responsive complaints handling with people and relatives reporting issues were resolved promptly
Quality-Statement breakdown (17)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
safe: Using medicines safelyGood
safe: Ensuring consent to care and treatment in line with law and guidanceGood
responsive: Supporting people to develop and maintain relationships, follow interests and take part in activitiesGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood