The Care Quality Commission
  • Care Home
  • Care home

Archived: 2 Cambridge Road

Overall: Good read more about inspection ratings

Milton, Cambridge, Cambridgeshire, CB24 6AW (01223) 883130

Provided and run by:
The Edmund Trust

All Inspections

10 August 2016

During a routine inspection

2 Cambridge Road is registered to provide accommodation and personal care for up to eight people. At the time of our inspection there were eight people with a learning disability living at the home. Accommodation is provided over 2 floors and all bedrooms are single rooms.

This announced inspection took place on 10 August 2016.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were following the correct procedures when administering medication. The records of the administration of medication were accurate. Daily medication audits were being carried out to ensure people received their medication as prescribed.

The CQC is required by law to monitor the Mental Capacity Act (MCA) 2005, Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The provider was acting in accordance with the requirements of the MCA including the DoLS. The provider could demonstrate how they supported people to make decisions about their care and the principles of the MCA were being followed.

The recruitment process had been followed to ensure that staff were only employed after satisfactory checks had been carried out. There were enough staff on shift to ensure that people had their needs met in a timely manner. Staff received a through induction and ongoing training to ensure that they had the skills and knowledge they required to meet people needs. Staff were aware of what actions to take if they thought that someone had been harmed in any way. Staff confirmed that they felt supported and received regular supervisions and annual appraisals.

Staff were kind and caring when working with people. They knew people well and were aware of their history, preferences, likes and dislikes. People’s privacy and dignity were usually respected. Staff encouraged and enabled people to make choices and carry out tasks independently and with support when needed.

Risks to people had been assessed and the necessary action had been taken to reduce the risks where possible. Care plans gave staff the information they required to meet people’s care and support needs in a person-centred way. Staff monitored people’s health and welfare needs and acted on issues identified. People had been referred to healthcare professionals when needed. People were involved in preparing a choice of food and drink that they enjoyed.

Staff supported people to maintain their interests and their links with the local community to promote social inclusion.

There was a complaints procedure in place and people felt confident to raise any concerns either with the staff or registered/service manager.

People’s views about the quality of the service were being obtained. People attended meetings about their care and support and discussed their views and choices.

There was an effective quality assurance process in place which identified any areas for improvement and ensured that they were actioned.

23 & 27 March 2015

During a routine inspection

2 Cambridge Road is registered to provide accommodation and personal care for up to eight people who have a learning disability. At the time of our inspection there were eight people living at the home. Accommodation is provided over 2 floors and all bedrooms are single rooms.

This unannounced inspection took place on 23 & 27 March 2015

At our previous inspection on 14 August 2013 the provider was found not to be in breach of the regulations that we assessed.

The home had a registered manager who had been in post since January 2011. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered managers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were robust recruitment process in place. This helped ensure that only staff who had been deemed suitable to work at 2 Cambridge Road were offered employment. There were a sufficient number of suitable qualified and experienced staff working at the home.

Staff had been trained in medicines administration and safeguarding people from harm and were knowledgeable about how to ensure people’s safety. However, there was not a clear record of medicines held in the home so we could not be sure that all medications were being administered as prescribed.

The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The registered manager and staff were knowledgeable about when a request for a DoLS would be required. Authorisations to lawfully deprive people of their liberty had been obtained and staff were aware of the action to take if further actions were needed. People’s ability to make decisions based on their best interests had been clearly documented to demonstrate which decisions they could make and what these were for.

People’s privacy and dignity was respected by staff. People’s care was provided with compassion and in a way which people appreciated. People’s requests for assistance were responded to promptly.

People’s care records were not up-to-date which could put people at risk of not receiving their care as planned. People were supported to undertake hobbies and interests of their choice.

People were supported to access a range of external health care professionals. This included their allocated GP, optician, chiropodist and dentist. Risks to people’s health were assessed and promptly acted upon by staff.

People were supported with their meals choices and supported to prepare and cook their meals. Staff ensured appropriate risks assessments were in place where a risk had been identified.

People, relatives and staff were provided with information on how to make a complaint and staff knew how to respond to any identified concerns or suggestions. Action had been taken to address people’s concerns and to prevent any potential for recurrence.

The provider had not sought people’s views to identify areas for improvement. Audits completed did not always demonstrate where action had been taken when improvements had been required.

14 August 2013

During a routine inspection

People that we spoke with during our inspection visit on 14 August 2013 were positive and satisfied with the care and support they received whilst living in the home. They made comments such as: 'The staff are very helpful and help me during the day'. People said that they had a keyworker to help them organise their week and any events that were coming up. People felt that they could talk to the manager and staff whenever they wanted to sort out any problems or concerns.

Care and support was being regularly reviewed to ensure that peoples' needs were being met. There was evidence of people's involvement in the planning of their care and support. However, some improvements to care planning documentation were needed.

Staff were trained in the safe administration of medication and records of administration were accurately completed.

The provider had an effective recruitment procedure in place which ensured that only people who were suitable to work with vulnerable people were employed.

Quality assurance procedures were in place to monitor the effectiveness of the care and services that were being provided. People using the service regularly had access to staff to resolve any concerns that they had.

During a check to make sure that the improvements required had been made

We asked the service to tell us about the action they had taken to address the compliance action that we had issued following our last inspection. The information provided by the service confirmed that appropriate action had been taken to ensure that people's needs were consistently met through the provision of adequate numbers of staff.

20 June 2012

During a routine inspection

We spoke with five people who lived in the home and they all said that they enjoyed living there. They also said that they knew what was in their care plans and had been involved in putting them together. They told us about a range of work and leisure activities that they were involved in. One person told us, "I like living here with my friends." Another told us, "We have just been on holiday and had a lovely time."

One person told us about the arrangements that had been in place to support them to attend health appointments and to encourage them to regain physical skills following recent ill health.

People living in the home told us that they liked the staff. One person told us, "The staff look after us." They also told us that there were always enough staff on duty to provide the support that they needed. They said that extra staff were on duty when needed, for example, to enable people to go on holiday.

People told us that they had 'house meetings' at which they could talk about issues that affected them. They said that the staff took action about any issues that needed addressing.

22 August 2011

During a routine inspection

People made a range of positive comments about the support they received. People told us they liked the staff and one commented, 'My key worker is brilliant, she has a kind heart and tells me I'm very intelligent'. Another reported, 'I like cooking, the staff have to help me but I make a good Sunday roast.' However one person told us that staff could, at times, be 'A bit bossy' . People also told us they had greatly enjoyed their recent summer holidays, 'Blackpool was brilliant, even though it rained, I saw Abba (tribute band) and they were great". One person particularly liked the food and told us, 'The food is beautiful and my favourite is cooked ham, egg and chips'.

Relatives we spoke with told us that the care their family member received was good. One relative was impressed that his daughter's independent living skills had improved since being at the home. He stated, 'My daughter is very happy there and has developed a lot. She is more self confident and independent. She walks into town alone now and comes and sees me by taking two buses'. However, a local authority care manager told us that the home was too big, and that the mixture of people in it didn't always work well, making it very difficult for some people to live there.