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Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 March 2019

About the service:

Cameron House is a residential care home that provides personal and nursing care for up to 44 people aged 65 and over. At the time of the inspection there were 41 people living at the service.

People’s experience of using this service:

Suitable measures were not put in place to mitigate risks or potential risk of harm for people using the service, as not all risks to people had been identified and assessed. People were at risk of having their safety compromised as equipment to enable them to summon staff assistance and to alert staff could not be used at the same time. Recommendations highlighted within the most recent fire risk assessment remained outstanding. However, these are recommendations and not a legal requirement.

People who could become anxious and distressed did not receive their medicines as prescribed and accurate records to evidence the rationale for these being administered were not recorded. Sometimes medicines were not stored securely.

Staff did not always have sufficient time to give people the care and support they needed and staffing levels were not always maintained.

Care planning arrangements did not ensure all of a person’s care needs were recorded. Records did not always evidence the care and support provided for people living at Cameron House. Staff were aware of people’s end of life care needs but these were not recorded.

Investigation reports were not completed to show how conclusions and outcomes had been reached relating to safeguarding concerns and complaints. Following the inspection the registered provider wrote to us and advised documentation was in place to evidence investigations undertaken and outcomes. This did not concur with our findings at the time of inspection.

Although quality assurance arrangements were in place these had not picked up the issues highlighted as part of this inspection.

People were treated with care and kindness and spoke positively about the caring attitude of staff. People were treated with respect and dignity and had a good relationship with staff.

Staff received appropriate training and induction relating to their role. Staff were supported by the management team and received regular supervision.

The dining experience for people was positive and people received sufficient food and drink throughout the day.

People received positive outcomes regarding their health and wellbeing; and the service worked jointly with other organisations.

Recruitment arrangements were robust to ensure the right staff were recruited and people were protected by the provider’s infection control procedures.

People’s capacity to make day-to-day decisions had been considered and assessed and the provider was working within the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People enjoyed the activities provided but stated there were occasions when they were bored and there was nothing for them to do.

We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around risk management and medicines arrangements. Details of the action we have asked the provider to take can be found at the end of this report.

Rating at last inspection:

Following the last inspection the rating of the service was ‘Good’ (Last report published 29 June 2016).

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as outlined in our inspection programme and schedule. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 13 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 13 March 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 13 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 13 March 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 13 March 2019

The service was not always well-led

Details are in our Well-Led findings below.