About the service:

Alexandras Community Care is a domiciliary care service that provides personal care and support to people living in their own homes in the community. When we inspected the service was providing the regulated activity, personal care, to approximately 37 people in and around the Truro area in Cornwall.

People’s experience of using this service:

¿ People using the service consistently told us they felt safe and staff treated them in a caring and respectful manner. Comments included, “They are all very capable” and “I feel very comfortable with all my carers, they are all wonderful.”

¿ Staff supported people to make decisions about their care and they were involved in their care plans. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

¿ People were supported by a stable staff team who had the skills and knowledge to meet their needs. Staff spoke passionately about the people they supported and were clearly committed to providing a responsive and caring service in line with people’s wishes.

¿ People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.

¿ Assessments were carried out to identify any risks to the person using the service, the environment and to the staff supporting them. People had agreed the times of their visits and were kept informed of any changes. No one reported ever having had any missed visits.

¿ Staff told us they were well supported and had a good working relationship with each other and the management team.

¿ People and staff were asked for their views of the service to help drive improvement. Spot checks of staff working practices were carried out by senior staff.

¿ The registered manager and management team used various methods to assess and monitor the quality of the service. These included the call monitoring system, staff meetings, spot checks, auditing of the service and surveys to seek people’s views about the service provided. All feedback was used to make continuous improvements to the service.

Rating at last inspection: This was the first inspection for the service since it re-registered at a new address in May 2018.

Why we inspected: This inspection was a scheduled comprehensive inspection carried out within the time frame for a newly registered service.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

The full details can be found on our website at www.cqc.org.uk