Background to this inspection
Updated
3 March 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. This was a targeted inspection to look at some specific concerns that had been raised about the way the service was being staffed and managed.
As part of this inspection we looked at the infection control and prevention measures in place. 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
One inspector and an Expert by Experience carried out the inspection. 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
Camberley Cottage 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 inspection
We reviewed all information we held about the service. This included stakeholder complaints, feedback received from our partner agencies, and statutory notifications that had been submitted. Notifications are changes, events and incidents that the service must inform us about.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
We met with all the six people who used the service and spoke individually with three of them. We spoke with four members of staff, including the registered manager. We reviewed a range of records. This included the care plans for three people. Documents relating to complaints and the management of risks were also viewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. Our Expert by Experience made telephone calls to six relatives to gain their views of the service. We gathered feedback from commissioners and two health professionals who regularly visit the service. We also looked at training data and quality assurance records.
Updated
3 March 2022
We carried out this unannounced inspection to Camberley Cottage on 9 March 2018. Camberley Cottage is registered to provide accommodation with personal care for up to six people with physical and learning disabilities. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of our visit four people lived at the service.
At out last inspection, the service was rated Good. At this inspection we found the service remained Good.
People were supported by a sufficient number of skilled and trained staff to meet their needs. Risks to people had been identified and as such staff took appropriate steps to help mitigate any risk of harm or injury to people. Staff were aware of their responsibilities in safeguarding people from abuse and supported people to access health care professionals to ensure they remained healthy.
Staff received supervision and appraisal with their line manager to support them in their roles. Staff were knowledgeable in relation to infection control and what to do in the event of a fire. Should the service have to close there were arrangements in place to ensure people’s care would not be interrupted.
People were supported to make their own decisions about their care and encouraged to be independent as much as they could. Staff had followed legal guidance in order to help ensure any restrictions to people were agreed in conjunction with those involved in the person. Staff worked with external agencies to support people and before people moved into the home their needs were assessed in order to help ensure staff could care for them in the way they needed.
People received support from staff who knew them well and positive relationships had developed. Staff treated people with kindness and were aware of their preferences. Staff demonstrated a good understanding of people’s communication styles. People received the medicines prescribed to them and staff provided people with nutritious food of their choosing.
People’s care records were person centred and completed in detail and people had access to a range of individual activities in line with their interests. The manager planned to develop activities further to give people additional opportunities.
People lived in an environment that was homely and adapted for their needs. The service was clean and hygienic and people had access to communal areas, a garden and their own bedrooms which were individualised.
Systems were in place to monitor the quality of the service provided and ensure continuous development. People and staff were involved in the running of the home and relatives played an active role. The service had a new manager (herein known as the manager) who had submitted their application to register with the Care Quality Commission. The manager had a clear vision on where she wanted to develop the service and the introduction of an electronic records system and use of technology was already benefitting staff and people. Staff felt supported and valued by the management team.