- Homecare service
Cornerstones Extra Care Scheme
Report from 13 March 2024 assessment
Contents
Ratings
Our view of the service
The assessment site visit was carried out from 21st to 22nd March 2024 in response to information of concern we received. We found two breaches of the legal regulations relating to safe care and treatment and governance. The provider did not always support the delivery of high-quality person-centred care. Accidents and incidents were not effectively monitored. Systems were not robust enough and not used effectively to manage medicines safely. Care plans lacked specific and personalised information on how to manage risks for people. The provider had not operated an effective system to assess, monitor and improve the quality and safety of care provided. However, people received care and support from skilled staff who protected them from harm, treated them with compassion, helped them manage risks and advocated for them to help them access care and treatments from professionals. Staff understood and applied the principles of the Mental Capacity Act and supported people to be as independent as possible. We assessed against the Right Support, Right Care, Right Culture (RS, RC,RC) statutory guidance. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it
People's experience of this service
Most people told us they felt safe living at the service. Some people told us they did not feel safe with the carers whilst others said they felt very safe. People felt they received care and support which met their assessed needs. However, they told us they were not always involved in reviews of their care. People felt they got the care they needed from health professionals because staff supported them to do so. People felt staff were caring and compassionate and supported their independence. People felt they were able to access their preferred activities both at home and in the community. People did not always feel they were asked for regular feedback on care and support provided.