Calton House is a community service that provides care and support to adults who have learning disabilities, mental health needs, people on the autistic spectrum, sensory disabilities and elderly people in their own homes, or group settings managed by a housing association. The service provides help with people’s personal care needs primarily in Camborne, Redruth and surrounding areas. The service provides personal care for people in short visits at key times of the day, as well as longer visits and 24 hour care.At the time of our inspection 48 people were receiving a personal care service. These services were funded either privately, through Cornwall Council or NHS funding.
There was a registered manager in post who was responsible for the day-to-day running of the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
We carried out this announced inspection on 8 and 10 March 2016. The service was last inspected in March 2014 and was found to be meeting the regulations.
People we spoke with told us they were positive about the support they received from the service. They said the service was, “Fantastic, top marks”, “Very good,” and “Excellent”. A health professional told us the service was, “Very accommodating and flexible.” A survey was completed to find out the views of people, their relatives, staff, and professionals who worked with the service. This showed a significant majority of respondents were very happy with the service.
People told us they felt safe. Staff had received training in how to recognise and report abuse. All were clear about how to report any concerns and were confident that any allegations made would be fully investigated to help ensure people were protected.
There were enough suitably qualified staff available to meet people’s needs. The service was flexible and responded to people’s changing needs. People told us they had a team of regular staff and their visits were at the agreed times. People told us they had never experienced a missed care visit.
People received care from staff who knew them well, and had the knowledge and skills to meet their needs. People and their relatives spoke well of staff and comments included; “the staff are more than OK”, “The staff are friendly, respectful and polite”, “They are lovely people” and “Polite and well mannered”.
Staff were knowledgeable about the people they cared for and knew how to recognise if people’s needs changed.
Staff were aware of people’s preferences and interests, as well as their health and support needs, which enabled them to provide a personalised service. Staff were kind and compassionate and treated people with dignity and respect.
The management had a clear understanding of the Mental Capacity Act 2005 and how to make sure people who did not have the mental capacity to make decisions
for themselves had their legal rights protected.
Staff told us there was good communication with the management of the service. Staff said management were, “Approachable”, and “Very good.”
There were effective quality assurance systems in place to make sure that any areas for improvement were identified and addressed. Where the provider had identified areas that needed improvement, actions had been promptly taken to improve the quality of the service provided.