Carmel Care & Support Limited Camborne

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. Staff and managers did not fully understand their role in assessing people's capacity to make specific decisions. Where people lacked capacity and there were restrictive care practices in place these practices had not been reported to the local authority.

People were supported to participate in work placements and encouraged to access the community independently where possible. The service appropriately supported people to raise concerns about their rooms with the accommodation provider.

Right Care The provider had not safely supported people with their medicines. Medicine administration records had

not been accurately completed and staff had not been provided with clear guidance on the use of 'as required' and emergency medicines. Staff cared for the people they supported and understood their role in ensuring people were protected from all forms of abuse and discrimination. People's decisions and choices were respected.

Staffing levels had recently improved and, with support from agency staff, the service had been able to consistently provide the level of support people required. Recruitment practices were safe. The providers infection prevention and control procedures were appropriate, and staff used PPE in accordance with current guidance.

Right Culture: The service did not have a registered manager and there had been significant management changes in recent months. A new acting manager had been appointed two weeks prior to the inspection. Staff and relatives were complimentary of the new managers approach. There were appropriate staff induction procedures in place and staff training had been regularly updated to ensure staff had the skills necessary to meet people's needs. Staff told us they were well supported by the new manager.