Alexandras Community Care Truro

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..