Cams Ridge Care Home

Updated 5 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 24 November 2020 and was announced

Updated 5 December 2020

This inspection took place on 21 and 22 May 2018 and was unannounced. At our last inspection we identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The management of medicines was not always safe and the stock of controlled medicines indicated medicines were missing. Records relating to people’s care were not always up to date and accurate. The provider sent an action plan telling us how they would address these concerns. At this inspection we found improvements had been made and there was no longer a breach.

Cams Ridge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Cams Ridge provides nursing care to older persons. Cams Ridge can accommodate up to 51 people in one adapted building. The home has two floors accessed via stairs or a lift, three communal areas and a large garden where people could choose to spend their time. At the time of the inspection the registered manager told us they had changed some of the bedrooms to make more space for people and Cams Ridge was now able to provide accommodation to 43 people. At the time of the inspection 29 people lived in the home.

A registered manager was in post. 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.

People were protected against abuse because staff had received training and understood their responsibility to safeguard people. Concerns were reported and investigated.

Prior to people moving into the home, assessments were undertaken to ensure the home and staff could meet the person’s needs. Staff were aware of the need to treat people as individuals and ensure care reflected their individual needs. Risks associated with people’s needs were assessed and action was taken to reduce these risks. We identified that some of these assessments could be done more promptly when a person first moved into the home and action was taken to address this during the inspection. People were supported to ensure they received adequate nutrition and hydration. Staff worked well as a team and people were supported to maintain good health and had access to appropriate healthcare services. People told us they were always asked for their consent before personal care was provided. Where needed, people’s ability to make decisions was assessed in line with the Mental Capacity Act, 2005 (MCA).

People and their relatives provided positive feedback about staff. Observations reflected people were comfortable and relaxed in staff’s company. People were cared for with kindness and compassion. People’s privacy and dignity was respected and they were encouraged to be involved in making decisions about their care. Staff responded to people’s changing needs and ensured a person centred service.

The provider’s recruitment process ensured appropriate checks were undertaken to ensure staff suitability to work in the home. People told us they felt staff had the skills and knowledge to care for them. Staff received supervisions and training to help them in their role.

People and their relatives said the home was always clean and well maintained. Equipment was managed in a way that supported people to stay safe and people were supported to maintain good health and had access to appropriate healthcare services.

There was a process in place to deal with any complaints or concerns if they were raised. People told us they knew how to complain and we saw complaints were investigated and outcomes shared with people and staff.

Communication was open and staff felt supported by the registered manager. Staff felt able to raise concerns at any time and were confident these would be addressed. People and their relatives were confident to raise concerns if they needed to and spoke positively about the registered manager’s approach. People, their families and staff had the opportunity to become involved in developing the service. The service aimed to ensure good quality care was delivered and there were systems in place to monitor the quality and safety of the service provided.