Background to this inspection
Updated
25 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Camelot is a care home, which provides accommodation and personal care for older people, younger adults and people with dementia. 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 used the information the provider sent us in the provider information return [PIR]. 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 four people who use the service and one relative. We spoke with three members of care staff and the registered manager.
We looked at four people’s care records, including their Medication Administration Records (MAR), three staff recruitment records and records relating to the governance of the service. This included quality assurance audits, records of accidents and incidents and complaints made. 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.
Updated
25 February 2020
About the service
Camelot Rest Home is registered to provide accommodation and personal care for up to 39 older people, younger adults and including those with dementia. At the time of the inspection 29 people were living at the home.
People’s experience of using this service and what we found;
Previously we had seen training was not carried out in a timely manner, during this inspection we saw improvements had been made and training was up to date and staff found it useful. At the last inspection individual slings were not used for people being hoisted, we saw that this was no longer the case and staff were aware of how to use them appropriately.
Audits had not previously identified the issues seen during the last inspection. We found audits were now detailed and provided a clear overview of the service.
People felt they were safe and relatives raised no concerns over how staff supported their family member. Staff knew how to escalate issues and concerns and were aware of potential risks when providing support. People received their medicines appropriately, as required. Staff used correct equipment, such as gloves and aprons when assisting people. Accidents and incidents were managed appropriately. Staff were recruited in a safe way.
Staff received an effective induction and appropriate ongoing training, so they felt confident when supporting people. People felt staff supported their individual needs and requirements. People received food and drinks as required and attended any medical appointments.
People felt staff were kind and caring towards them. People were given choices and were able to make their own decisions as far as possible. Staff supported people to be independent and ensured that people’s privacy and dignity was maintained.
People and relatives felt involved in the development of care plans. Care plans provided staff with information about people’s needs and preferences and how they would like these to be met. A complaints procedure was in place and people and their relatives knew how to raise concerns and felt these would be addressed. People were supported to remain active and participate in social activities.
Staff were aware of the requirements of the mental capacity act and had received training. People were supported to have choice and control over their lives and staff understood that they should support them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff ensured that people’s privacy and dignity was maintained.
Feedback was taken from people and used to inform the service. People knew the registered manager and felt they were approachable.
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 Requires Improvement. (Report Published 23 January 2019). The service had been rated ‘requires improvement’ in each of the key questions.
There was a previous breach of regulation 17 (2) (b) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to the lack of oversight of the service. This had now been met.
Why we inspected
This was a planned inspection based on the previous rating.
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.