# Carmel Care & Support Limited Camborne

*Operated by Carmel Care & Support Limited.*

Carmel Care & Support Limited Camborne is a CQC-regulated home-care agency in Camborne.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 17/01/2023

## Practical info

- Postcode: TR14 8EX
- Local authority: Cornwall
- Region: South West
- City: Camborne
- Last CQC check: 17/Jan/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Complaints received had been investigated and resolved, and there were appropriate systems to gather feedback.
  - Published: 2023-01-17
- Finding
  - Evidence: The provider's nominated individual had a good understanding of effective supported living care and was developing improvement plans.
  - Published: 2023-01-17
- Finding
  - Evidence: Recruitment practices were safe, including completed Disclosure and Barring Service checks.
  - Published: 2023-01-17
- Finding
  - Evidence: Infection prevention and control procedures were appropriate with PPE used in accordance with current guidance.
  - Published: 2023-01-17
- Finding
  - Evidence: Accidents and incidents were accurately documented, reviewed by managers, and learning shared with staff.
  - Published: 2023-01-17
- Finding
  - Evidence: Staff training was regularly refreshed and updated, and induction procedures including the Care Certificate were in place.
  - Published: 2023-01-17
- Finding
  - Evidence: Staffing levels had recently improved with safe staffing levels consistently achieved across all 3 settings.
  - Published: 2023-01-17
- Finding
  - Evidence: Staff were dedicated, caring and kind, with relatives confirming confidence in people's safety and wellbeing.
  - Published: 2023-01-17
- **supervision_appraisal** _(minor)_
  - Evidence: "I have had supervisions" and "[The new manager] has done supervisions, I had not had one before".
  - Published: 2023-01-17
- **record_keeping** _(moderate)_
  - Evidence: Handwritten amendments and changes to MAR had not been countersigned to ensure the accuracy of the information transcribed.
  - Published: 2023-01-17
- **person_centred_care** _(moderate)_
  - Evidence: 2 of the 3 settings inspected were operating as if they were care homes as opposed to supported living settings...Rolling staff rotas...restricted people freedoms and choices.
  - Published: 2023-01-17
- **leadership** _(moderate)_
  - Evidence: "We've had an insane high management turnover", "Management has been a mess" and "There has been a lot of management change, I think I am on my 4th or 5th manager".
  - Published: 2023-01-17
- **governance** _(moderate)_
  - Evidence: The service is required to have a registered manager but there was no registered manager in post at the time of this inspection.
  - Published: 2023-01-17
- **consent_capacity** _(critical)_
  - Evidence: Where people lacked capacity...restrictions to people's freedoms were in place...this information had not been appropriately reported to the local authority.
  - Published: 2023-01-17
- **consent_capacity** _(critical)_
  - Evidence: Staff and managers did not fully understand their roles in assessing people's capacity to make specific decisions.
  - Published: 2023-01-17
- **care_planning** _(moderate)_
  - Evidence: People's care plans were incomplete and missing information on how to manage risks, including in relation to mobility needs and specific medical conditions.
  - Published: 2023-01-17
- **medication_management** _(critical)_
  - Evidence: We found multiple examples in all 3 settings where there were unexplained gaps in MAR charts.
  - Published: 2023-01-17
- **medication_management** _(critical)_
  - Evidence: 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.
  - Published: 2023-01-17

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-8438040146

HomeCare Compass is an independent guide and is not affiliated with the CQC.