Cambridge Park

About the service

Cambridge Park is a ‘care home’ that provides care and support for up to eight people. All the people who live at Cambridge Park have a learning disability. There were six people living there at the time of the inspection.

CQC regulates both the premises and the care provided, and both were looked at during this inspection.

People’s experience of using this service and what we found

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

The home provided an environment and service that was safe, and people felt safe living there. The service quality provided was regularly reviewed, and changes made to improve people’s care and support as required. This was in a way that best suited people. There were well-established working partnerships between the home and healthcare professionals that promoted people’s participation and reduced their social isolation.

Right Care

There were enough well trained and suitably recruited staff who supported people to live safely, whilst enjoying their lives. Risks to people and staff were assessed, monitored and regularly reviewed. Complaints, concerns, accidents, incidents and safeguarding issues were reported, investigated and recorded. Trained staff safely administered people’s medicines.

Right culture

The service had a culture that was open, honest and positive with a leadership and management that was clearly identifiable and transparent. The provider had a clearly defined vision and values which staff understood and followed. Staff knew their responsibilities, accountability and were happy to take responsibility and report any concerns they may have to the provider.

Rating at last inspection

The last rating for this service was Good (published 9 July 2019).

Why we inspected

We undertook this inspection to check whether the service was continuing to provide a good rated service to people.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service remains good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cambridge Park on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We found the following examples of good practice:

The provider was following best practice guidance to prevent visitors to the home spreading COVID-19 infection. The provider enabled residents to keep in touch with family members and people's friends through video calls if requested.

All visitors were asked to complete COVID-19 lateral flow test. All visiting professionals on the national testing programme were asked to show proof of their recent COVID-19 negative test. On entry all staff and visitors were provided with Personal Protective Equipment (PPE). This was to ensure the safety of staff and people.

To ensure people's well-being the provider performed monthly wellbeing assessments using a tool and people's mental state was monitored.

The home had multiple clean areas for staff to don and doff (put on and take off) PPE.

Our observations during the inspection confirmed staff were adhering to PPE and Infection Control guidance.

The provider had ensured residents who were more vulnerable to COVID-19 had been assessed and plans were in place to minimise the risk to their health and wellbeing. Staff knew residents very well and were able to manage their well-being effectively with effective care plans.

Further information is in the detailed findings below.

Cambridge Park is a care home providing care and support for up to eight people with learning disabilities. There were no vacancies.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People were happy living at Cambridge Park. The home was a safe environment for people to live and work in. People’s had risks were assessed, enabling them to live safely whilst taking acceptable risks. Safeguarding concerns and accidents and incidents were reported, investigated and recorded. There were enough staff who were appropriately recruited. Medicine was safely administered.

People were not discriminated against. Staff were well-trained, supervised, appraised and communicated clearly with people. People were encouraged to discuss their health needs and had access to community-based health care professionals. People were protected from nutrition and hydration risks and supported to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s best needs.

The home had a welcoming and friendly atmosphere. People liked the way that staff provided care and support for them. Staff were caring and compassionate. There were positive interactions between people, staff and each-other throughout our visit. People’s privacy, dignity and confidentiality was observed. People were enabled to be independent and had access to advocates.

People’s care was person centred and their needs assessed and reviewed. They were given choices, interests and hobbies were catered for and people did not suffer from social isolation. They received information to make decisions and end of life wishes were identified. Complaints were recorded and investigated.

There was a clear vision and values, and the home’s culture was positive with open and transparent management and leadership. Clear areas of responsibility and accountability were identified, and the quality of the service regularly reviewed. Audits were carried out and records kept up to date. Good working partnerships and community links were established. Registration requirements were met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was good (published 7 March 2017). The inspection was focussed and rating for safe was good. The last comprehensive rating for this service (published 11 November 2016) was good with safe as requires improvement.

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.

The home provides care and accommodation for up to eight people with learning disabilities. It is located in the Twickenham area and the registered provider is Lifeways Community Care Limited.

At the time of our inspection the home had a registered manager. 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 and associated Regulations about how the service is run.

This was a follow up inspection to one we carried out on 6 October 2016 where there was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to the recording of medicine administered. At this inspection the home met the regulations. We found improvements had been made around the management of medicines and we have revised our rating to good for the safe question.

People were safe living at the home and using facilities within the local community and said they liked living at Cambridge Park, the activities they did and the way that staff supported them and provided care. People chose their own activities and when they took place. When we visited there was a friendly, warm, and welcoming atmosphere with people using the service coming from and going to activities. Frequent positive interaction took place between people using the service and staff. There was a variety of home and community based activities available with one person celebrating their birthday.

The records we looked at were easily accessible, up to date and covered all aspects of the care and support people received. This included people's choices, activities and safety. People’s care plans were complete and the information contained was regularly reviewed. This enabled staff to perform their duties efficiently and professionally. People were encouraged to discuss their health needs with staff and had access to GP’s and other community based health professionals, as required.

People knew the staff that supported them well and the staff were very familiar with people, their likes, dislikes and preferences. They were well supported and enjoyed the way staff delivered their care. The care and support staff provided was professional, friendly and focussed on people as individuals and staff had appropriate skills to do so. The staff were well trained and accessible to people using the service. Staff said they liked working at the home and had received good training and support from the manager.

People said the management team was approachable, responsive and listened to them. The quality of the service provided was consistently monitored and assessed.

The home provides care and accommodation for up to eight people with learning disabilities. It is located in the Twickenham area and the registered provider is Lifeways Community Care Limited.

At the time of our inspection the home had a registered manager. 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 and associated Regulations about how the service is run.

This is the first inspection since the provider was registered.

People said they enjoyed living at Cambridge Park and the way that staff supported them and provided care. People chose their own activities and when they took place. They felt safe living at the home and using facilities within the local community. When we visited there was a friendly, warm, and welcoming and atmosphere with people using the service coming from and going to activities. Frequent positive interaction took place between people using the service and staff. There was a variety of home and community based activities.

The records were easily accessible, up to date and covered all aspects of the care and support people received. This included their choices, activities and safety. People’s care plans were complete and the information contained was regularly reviewed. This enabled staff to perform their duties efficiently and professionally. People were encouraged to discuss their health needs with staff and had access to GP’s and other community based health professionals, as required. A physiotherapist visiting during the inspection. Staff supported people to choose healthy meal options and maintain balanced diets whilst meeting their likes, dislikes and preferences. This enabled them to be protected from nutrition and hydration associated risks. People told us that they liked the choice and quality of meals they ate.

People knew the staff that supported them well and the staff were very familiar with people, their likes, dislikes and preferences. They were well supported and enjoyed the way staff delivered their care. The care and support staff provided was professional, friendly and focussed on people as individuals and staff had appropriate skills to do so. The staff were well trained and accessible to people using the service. Staff said they liked working at the home and had received good training and support from the manager.

People said the management team was approachable, responsive and listened to them. The quality of the service provided was consistently monitored and assessed.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to the recording of medicine administered. You can see what action we told the provider to take at the back of the full version of the report.