Cambeck Close

Updated 30 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Cambeck Close is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Cambeck Close is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a respite service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service. Some people using the service had limited verbal communication. We observed interactions between people and the support staff throughout our inspection. 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 spoke with 11 relatives and 9 members of staff including the registered manager, deputy manager, service manager, the provider’s quality lead, support workers and team leaders. We also spoke with 4 local authority professionals who worked with the service.

We reviewed a range of records, including 6 people’s care plans and medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance, complaints and safeguarding were reviewed.

Updated 30 December 2023

About the service

Cambeck Close provides an overnight accommodation short break service for children and adults who live in Bury, who have a learning disability and complex healthcare needs and may have behaviour that challenges the service. The service provides personal and nursing care support for up to 3 children and 3 adults each night. Children and adults are accommodated separately in two three bedded adapted bungalows. At the time of our visit, 15 children and 17 adults were accessing the short breaks scheme and were allocated overnight stays throughout the year.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Cambeck Close is located in a residential area, within easy reach of local amenities. There were enough staff to meet people’s care and support needs and support people to take part in inhouse activities of their choice. However, it was not always possible to support people to go out during their respite stay due to problems in recruiting additional staff. Staff were safely recruited and completed the training required 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.

Right Care: People received their medicines as prescribed. We have made a recommendation to ensure all current medicines advice is available for staff and the medicines policy reflects practices at the service. The home was clean throughout, however the décor was tired in places. Repairs had been reported but took the provider’s estates department a long time to prioritise. A decorator was booked, and the WiFi was improved during our inspection. Staff used PPE appropriately.

People’s needs were assessed before they had their first respite stay. Staff contacted people’s families to ask if there had been any changes in people’s needs since their last respite stay and care plans were updated accordingly. Reviews of people’s needs were held, although some were behind schedule at the time of our inspection.

Care records identified people’s preferences, support needs and potential risks. Guidance was provided to support staff to manage these risks. People received kind and compassionate care. Staff respected people’s privacy and dignity. They understood and responded to people’s individual needs.

Right Culture: People were comfortable with the staff team supporting them. People’s cultural needs were being met. Staff provided feedback to people’s families after each respite stay. Professionals said the service was responsive to requests for support and there was good communication with Cambeck Close. Staff enjoyed working at the service and felt listened to by the management team. A quality assurance system was in place. Actions were completed where any issues had been identified.

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 Good (published 30 November 2016).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made a recommendation for managing medicines in line with best practice guidelines.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.