We carried out a review of the data available to us about Cornforth Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Cornforth Care Ltd, you can give feedback on this service.
Cornforth Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats to predominantly older people living in and around the Whitby area. At the time of this inspection, 15 people were using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People were extremely happy with the care and support they received, and they felt safe. Risks to people had been assessed, recorded and regularly reviewed. People received their medicines as prescribed and their nutritional needs were being met by staff who promoted a healthy, balanced diet.
Staff had been recruited safely and were provided with appropriate training and support to enable them to carry out their roles.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Signed consent was in place.
People and staff spoke highly of the registered manager and their commitment to the service. The staff team had worked hard to make improvements to ensure they were meeting regulations.
A system was in place which was used to monitor the quality and safety of the service. People were regularly asked their views on the service provided and action had been taken when suggestions were made.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (report published 27 March 2020).
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We carried out an announced comprehensive inspection of this service 4 February 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the recruitment processes and governance systems in place.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cornforth Care Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Cornforth Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats to predominantly older people living in and around the Whitby area. At the time of this inspection, 23 people were using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Appropriate checks had not been completed to ensure suitable staff were employed. Staff inductions and supervisions were not thoroughly recorded. Medicine records were in place, but these did not always contain the required level of information. The quality assurance processes in place were not effective.
Peoples preferences in relation to end of life care had not been considered. We have made a recommendation about end of life care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Decisions made in people’s best interests and consent to care and support was not always recorded. We have made a recommendation about best interest records.
People received support from staff who were kind and caring in their approach. Staff had been provided with appropriate training and people told us they felt safe. Staff were knowledgeable of the process to follow if they suspected abuse.
People had the opportunity to attend a day centre and increase social interaction. Feedback was often requested from people and staff that was used to make improvements to the service provided. The service had a positive culture. The registered manager was passionate about providing person-centred support.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 9 January 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified breaches in relation to safe recruitment and quality assurance processes in place at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.