Cambron House

Updated 21 August 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by two inspectors

Service and service type.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We received feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service, four relatives via the telephone about their experience of the care provided and obtained feedback from three health care professionals. We spoke with ten members of staff including the provider, manager, clinical lead, nurse, care workers, ancillary staff and the maintenance person. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included two people’s care records, medication records and weight records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 21 August 2021

About the service:

Cambron House is a care home providing personal care and nursing. It can accommodate up to 38 people. There were 20 people using the service at the time of the inspection.

People’s experience of using this service:

Relatives we spoke with told us staff ensured people were safe. From our observations we saw staff responded to people’s needs promoting safety. Staff understood safeguarding and whistleblowing procedures. We found adequate staff were employed to meet people’s needs. There was a safe recruitment process, which ensured only staff suitable to work with vulnerable adults were employed. The registered manager promoted a focus on openness and transparency. Accidents and incidents were effectively monitored, which ensured staff learned when things went wrong. People were protected by the prevention and control of infection. Medication systems were in place and followed by staff to ensure people received their medicines as prescribed. We identified some minor documentation issues which were addressed immediately by the registered manager, systems were improved and implemented at the time of our inspection.

Staff we spoke with were very knowledgeable about people needs. We observed that care provided was person-centred and individualised. Staff had received effective training to ensure their knowledge was up to date. Staff were supervised and supported. 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. People had access to health care professionals, staff worked closely with professionals to ensure people's needs were met. Professionals we spoke with told us the care provided was very good and they had seen very positive improvements over the last few months.

We observed staff were kind and caring. People were treated with dignity and respect. Relatives we spoke with told us the staff were lovely. People received care that was responsive to their needs. Staff understood people’s needs, including social, cultural, values and beliefs.

People were supported at the end of their life. The staff ensured people and their families wishes were explored and plans developed so these were met. The staff culture had changed, they were well led and supported. The registered manager led by example promoting openness and instilling a passion in staff to ensure the highest possible quality of care was provided to improve people’s well-being and quality of life.

There was a robust quality monitoring system in place to ensure continued improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was inadequate (published 18 January 2021suplementary published 6 February 2021) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 18 January 202. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected:

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.