Cambrian House

Updated 18 February 2022

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.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Cambrian House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 sought feedback from the local authority and professionals who work with the service. We also sought feedback from Healthwatch. Healthwatch is an independent consumer champion and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. 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 of this information to plan our inspection.

During the inspection-

We spoke with three people who used the service and three relatives about their experience of the care provided. We spoke with the provider, registered manager and deputy manager. We also spoke with two care staff and a senior care worker.

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 in detail and others in certain areas as well as multiple medication records. We looked at three staff files in relation to recruitment. We looked at a variety of records relating to the management of the service.

After the inspection –

We reviewed additional information, policies and procedures the registered manager sent to us.

Updated 18 February 2022

About the service

Cambrian House is a residential care home providing accommodation and personal care to 20 people aged 65 and over and one person aged under aged 65 at the time of the inspection. The service can support up to 25 people in one adapted and extended building. People’s accommodation is on the ground and first floor.

People’s experience of using this service and what we found

People and their relatives were happy with the care they received and felt safe because of the support provided by staff who knew their needs.

The provider had processes in place to protect people from avoidable harm and abuse. Staff were aware of their responsibilities in relation to this and were clear about the way to escalate any concerns they identified. Risks to people were identified using best practice tools and guidance, and care was planned so people’s safety was maintained.

The home environment was clean and tidy, and staff worked to reduce the risk of infection. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again.

Staff were available to provide a timely response to people and provide safe care. People received

their medicines as prescribed and medicines were managed so people’s health needs were met.

People received personalised care which promoted their preferences. Their care plans reflected their needs and staff understood people's needs. The registered manager had ongoing action plans in place to further improve people’s opportunities to recreational activities.

People's wishes at the end of their lives were recorded in their care plans and respected.

The provider had processes in place to deal with people’s complaints should they arise. People and relatives were aware of how to raise any concerns should they need to.

The registered manager worked in an open way with people, their relatives, staff and health and social care professionals to provide a good quality of life for people. Staff felt supported by management and thought they worked well as a team. Systems were now in place to monitor the quality of the service and the care provided and actions were taken to continuously improve the service.

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 (published 4 February 2020).

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.

Why we inspected

We undertook this inspection as the provider had requested an addition to their service user bands to include Younger Adults.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cambrian House on our website at www.cqc.org.uk

Follow up

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