Camberwell Lodge

Camberwell Lodge is a residential care home providing nursing personal care and support to younger adults, older people and people living with dementia. The service can support up to 98 people. At the time of our inspection there were 56 people using this service.

People's experience of using this service

The systems and processes in place did not always ensure people’s safety. The process for ensuring people’s skin integrity was maintained was not robust. Pressure relieving mattresses were on the wrong setting and guidelines for changing dressings were not always followed properly. Medicines were not always managed safely. People receiving care, their relatives and staff gave mixed views about safety and staffing levels. Many people felt staffing levels were compromising the quality and safety of the service. We were not assured there were sufficient numbers of suitably qualified staff on duty at all times.

The provider did not always understand their responsibility to submit the relevant notifications as we identified an incident involving the police which we had not been informed about. Complaints were dealt with in line with the provider’s complaints policy. However, people told us they were not always satisfied with how their complaint had been dealt with.

Staff usually worked well with other health and social care professionals to ensure people’s health needs were being met. However, we found some examples where records were not kept in line with recommendations. Staff received an induction and ongoing training and support suitable to their role. 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.

Most people told us they were treated with respect and dignity from kind and caring staff. We observed positive interactions between people receiving care and staff and this corresponded to feedback we received.

The provider supported people to plan their end of life wishes and worked with the local hospice service to ensure people’s end of life care was well planned. The care home offered a range of communal and one-to-one activities to keep people occupied and stimulated.

There were a range of audits and quality assurance checks but these were not always effective and did not identify and/or resolve all the issues we found. The service had recently had large influx of new residents and the service had planned and executed many aspects of the transition well for most people.

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

Rating at last inspection:

The service was registered with us on 19 May 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels and poor management of medicines. A decision was made for us to inspect and examine those risks and to provide a rating of this newly registered service.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well-led sections of this full report.

Enforcement and recommendations.

We have identified breaches in relation to management of medicines, risk management, staffing and good governance at this inspection. Please see the action we have told the provider to take at the end of this report. We have made recommendations in relation to monitoring and recording and responding to complaints.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.