Care at Home

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Summary of report content

During 2014, Healthwatch Cornwall was made aware of a number of concerns about the commissioning, supply and administration of the process for providing care at home in Cornwall.  They heard from 59 people.

A serious shortfall is perceived in the current capacity to provide care at home in Cornwall and urgent remedial action is needed to increase total capacity, and to extend the scope of care at home services. 

More than 40 care providers said that they believe that current conditions in the care at home sector are fragile at best and risk serious breakdown unless substantial changes in policies, and some administrative practices, can be made quickly. 

People in receipt of care desire that it is delivered by trained and experienced staff. Continuity of care is necessary and people appreciate the support provided by carers. 

Despite the review of the Framework Agreement, there is still a need for more substantial, transparent and open dialogue between all of the commissioners and care providers. This will support the implementation of the declared strategy of shifting more emphasis towards providing care at home over the next five years. 

This report includes recommendations of changes or investigations that should be made by some or all of the agencies involved.

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General details

Local Healthwatch
Healthwatch Cornwall
Publication date
Date evidence capture finished
Key themes
Access to services
Caring, kindness, respect and dignity
Communication with patients; treatment explanation; verbal advice
Consent, choice, user involvement and being listened to
Service organisation, delivery, change and closure
Waiting times- punctuality and queuing on arrival

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Engagement event
General feedback
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Adult social care, including care packages and social workers
Home care/domiciliary care including personal assistants and personal budgets

Details of people who shared their views

Number of people who shared their views
99
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