Camelot Residential Care Home

Updated 17 October 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the service was registered with the new provider in November 2018. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service, and an allocated representative for three people who lived in the service, about their experience of the care provided. We spoke with four members of staff including the registered manager, care workers, and chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records, and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to clarify information with the registered manager to validate evidence found. We looked at training data and quality records. We spoke with two visiting professionals and two relatives.

Updated 17 October 2019

About the service

Camelot Residential Care Home is a residential care home providing personal care support to up to 17 older people. There were 11 people living there at the time of the inspection. Most people were living with dementia and needed additional assistance due to frailties of old age; such as support to maintain mobility or skin integrity.

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

Quality systems were not fully developed and did not support the management of the service. This included the maintenance of accurate records; care records did not reflect the care and support provided. Some policies and procedures needed updating to reflect best practice.

Staffing arrangements ensured people’s needs were responded to in a timely way. Staff had a good understanding of how to identify and respond to any suspicion or allegation of abuse or discrimination. Staff were recruited safely. People's Medicines were stored, administered and disposed of safely. There were suitable arrangements in place to assess and respond to any risk to people and staff. The service was clean and well maintained.

All staff completed essential training to ensure they had suitable skills to care for people. Staff were supported and had the opportunity to develop new skills. People's dietary needs were assessed, and food was provided to meet people’s needs and preferences. 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.

People were looked after by staff who knew and understood them. 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 had the opportunity to take part in a variety of activities in the service. This took account of people's preferences, choice and interests. Visitors were welcomed, and staff supported them to enjoy their visits to the service. People were supported to maintain good health and had access to external healthcare professionals such as their GP when they needed it.

The registered manager was open and transparent and fostered an open culture in the service where staff felt well supported and valued, and people felt comfortable and safe.

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

Rating at last inspection

This service was registered with us on 29/11/2018 and this is the first inspection.

Why we inspected

This was a planned comprehensive inspection, following the registration of the location.

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.