Background to this inspection
Updated
1 May 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection team consisted of one adult social care inspector and an assistant inspector. The inspection was unannounced on 19 March 2019.
Cymar House is a care home which provides personal care and support to older people. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and care provided and both were looked at during the 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.
We reviewed information we had received since the last inspection. We used information the provider had sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and the improvements they plan to make. We checked information held by the local authority commissioning and safeguarding teams in addition to other partner agencies and intelligence received by the Care Quality Commission.
We spoke with six people who used the service and three relatives. We spoke with three staff and the registered manager. We spoke with two visiting professionals.
We looked at four care records for people who used the service, three staff files including recruitment, training and supervision records and records relating to the quality assurance of the service.
Updated
1 May 2019
About the service: Cymar House is a care home which was providing personal care to 24 people aged 65 and over at the time of the inspection.
People’s experience of using this service:
• Systems and processes were in place to keep people safe and staff understood procedures to follow to ensure people were safeguarded from abuse.
• Medicines were managed safely, although some guidance for staff was not clear, such as when people may be in need of pain relief or were feeling agitated.
• Staff recruitment procedures were in place and the numbers of staff on duty met people’s needs.
• Staff training was completed in many areas, and the service had a designated trainer
• We received mixed feedback about the quality of the food. The service advertised ‘home cooked food’. However, this was no longer prepared in the home, but brought in from an external source.
• There were kind and caring interactions between staff, people and families, and staff showed respect for people’s privacy and dignity.
• Care records contained relevant information although some had incomplete and conflicting detail.
• Activities took place, although there was not much happening to keep people occupied during the inspection.
• The management team was visible in the service and staff understood their roles and responsibilities. There was effective teamwork and staff felt supported.
• Systems and processes were in place to monitor the quality of the service and the registered manager responded promptly to address areas identified through the inspection.
Rating at last inspection: Good (report published 19 August 2016)
Why we inspected: This was a planned inspection based on the previous rating
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk