Archived: Camelot Residential Care Home

At the last inspection, the service was rated Good. At this inspection we found the service remained Good. This inspection took place on 8 and 16 June 2017 and was unannounced.

The home is run by a husband and wife who are the owners and are also the registered managers of the home. For the purpose of this report we will refer to them as registered managers. 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.

Systems in place, including the quality review systems, did not ensure best practice was followed in all areas. Some care documentation was not up to date signed and dated. Risk assessments on nutrition and skin condition were not documented to inform the care provided.

People were looked after by staff who knew and understood their individual needs well. Staff treated people with kindness and compassion and supported them to maintain their independence. People’s dignity was protected and staff were respectful. Feedback was positive and people praised both the staff and the relaxed atmosphere in the service.

People told us they felt they were safe and well cared for. They were confident staff were available and looked after them well. Staff understood their responsibilities to safeguard people. They knew what actions to take if they believed people were at risk of harm or abuse. Staff had been trained on the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The registered managers had an understanding of both and followed correct procedures to protect people’s rights. People’s Medicines were stored, administered and disposed of safely.

People had the opportunity to take part in a variety of activities in the service. This took account of people’s preferences and choice. Visitors told us they were warmly welcomed and people were supported to maintain their own friendships and relationships.

People were supported to maintain good health and had access to external healthcare professionals such as their GP when they needed it.

People had access to the complaints procedure and complaints were handled appropriately. There was an opportunity for people to share their views on the service and their views were taken into account to improve the service.

Further information is in the detailed findings below.

We found that the home was cleaned to a good standard and that there were effective systems in place to maintain hygiene and minimise the risk of infection.

We examined the home's processes for obtaining, storing, administering and disposing of medicines. We found these were carried out safely and accurate records were kept.

We examined four staff files and saw that the home took care to recruit suitably qualified staff of good character to ensure the welfare of people who lived at the home.

We were shown the home's complaints policy and record of complaints. We saw that complaints were all recorded, considered and responded to in a timely manner and, where necessary, changes were implemented.

We tracked the care records of four people who used the service which showed that people were provided with the care and support that they required and preferred to meet their assessed needs.

We spoke with two staff members who confirmed that they were provided with safeguarding training. They also told us they had seen the services' guidance around safeguarding vulnerable adults and knew what constituted abuse and how to respond if they had any concerns about the safety of people who used the service.

During our visit we saw that staff were attentive to people's needs. They responded to verbal and non verbal requests for assistance promptly. They were also able to spend time engaging in professional but relaxed conversations with people who used the service.

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. We saw the results from the last satisfaction questionnaires which had been sent to the people using the service, relatives and professionals. These responses consistent 'very good' and 'good' responses across all groups of people surveyed.