CQC report explained · a residential care home
What the CQC found at Cambian Lufton Manor College
Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.
What inspectors found, December 2020
Inspected but not rated; inspectors found improvements in staffing and safeguarding, but infection testing and PPE use needed attention.
This was an unannounced targeted inspection on 10 November 2020. Inspectors looked at specific concerns about staffing and safeguarding, and also checked infection prevention and control. They spoke with students, staff and relatives, observed care, and reviewed records.
Inspectors found no evidence that students were at risk of harm from the staffing and safeguarding concerns. Students appeared happy and relaxed with staff. Staff knew how to recognise and report abuse, and staff and relatives said there were enough staff in place.
There were infection control weaknesses. Testing for students and staff was not happening regularly, and there was some confusion about how to put on and remove PPE safely. The provider began taking action during and after the inspection.
The service was inspected but not rated. The previous Safe rating was Requires Improvement and was not changed because this inspection did not assess the whole Safe question or the other four questions.
Safeguarding awareness
Staff knew how to recognise possible abuse and understood how to report it, including to outside organisations.
“Staff knew how to recognise potential abuse and who to report it to, including externally.” from the report
Students appeared settled
Inspectors saw positive and comfortable interactions between students and staff. Students appeared happy and relaxed during the visit.
“Students were happy and relaxed around staff who were supporting them.” from the report
Staffing levels
Staff said there were enough of them to meet students' needs, apart from occasional particularly challenging days.
“Students were supported by enough staff to meet their needs.” from the report
Improved safety
Relatives told inspectors that safety and staffing had improved compared with a few years earlier.
“Things are definitely much safer now which is very different from a couple of years ago” from the report
Testing was not regular
needs fixingInspectors were not assured that testing was being accessed for students and staff receiving regulated care.
“We were not assured that the provider was accessing testing for people using the service and staff.” from the report
PPE procedures were unclear
needs fixingStaff were using PPE, but there was confusion about the safest order for putting it on and taking it off. The provider identified actions to address this.
“However, there was some confusion about the best practice sequence for putting PPE on and taking them off.” from the report
- 01How often are students and staff now tested, and what happens when a test is missed or is positive?
- 02What training and checks are now in place to make sure staff put on and remove PPE in the correct sequence?
- 03What actions have been completed since the inspection to improve infection prevention and control?
- 04How do you make sure staffing remains sufficient on particularly challenging days?
- 05How are safeguarding responsibilities for students under 18 being managed while staff knowledge is being improved?
This was an unannounced targeted inspection of specific staffing and safeguarding concerns, plus infection prevention and control; it did not assess the full Safe question or the other four questions, so the previous ratings carried over. This explanation was written from the published report of 9 December 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2020
Cambian Lufton Manor College was rated Requires Improvement; inspectors found much kinder and safer care, but legal safeguards around restrictions were still not reliable.
Inspectors visited unannounced on 28 and 29 January 2020. They spoke with students, relatives and staff, and checked care records, medicines, recruitment files, policies and safety records.
The home had made significant improvements since its previous Inadequate rating. Staffing, safeguarding, risk management, medicines systems and quality monitoring had improved. Caring was rated Good, with students treated kindly and supported to make choices and build independence.
However, the home was still rated Requires Improvement overall. Inspectors found problems with how restrictions on students' liberty were authorised and managed. Some care plan and medicines records were also incomplete or inconsistent, and inspectors were not yet sure that all improvements would last.
The home had one continuing breach of Regulation 13 concerning safeguarding people from abuse and improper treatment. It was no longer rated Inadequate and was no longer in Special Measures.
Kind and respectful care
Students were generally comfortable with staff. Inspectors saw warm relationships and support that respected privacy, dignity and individual choices.
“We saw staff chatting, laughing and joking with people and assisting them in a way that was equal, friendly and warm.” from the report
Better staffing
The home had enough staff during the inspection to keep students safe and meet their needs. The use of regular agency staff also helped provide consistency where possible.
“Students were now supported by enough staff to keep them safe and meet their needs.” from the report
Support for independence
Students were helped to cook, clean, shop, manage money and develop other daily living skills. The home also supported activities, friendships and community involvement.
“Students help us clean, help us cook, shopping, they do lots of things with us. They are learning to live independently.” from the report
Improved family communication
Relatives received regular weekly updates and could attend meetings. Inspectors found that complaints were now investigated and answered in line with the home's policy.
“Relatives were incredibly positive about the new weekly contact they received.” from the report
Incomplete medicines records
needs fixingMedicines were generally being given as prescribed, but new recording systems were not fully in place. One 'when required' medicine did not have a clear protocol.
“For example, we saw one student had a medicine prescribed 'when required' which did not have a protocol in place.” from the report
Care plans not always consistent
needs fixingMost care plans had improved, but some still contained contradictory or missing information. This could confuse new or agency staff.
“However, contradictions were still found in areas of care plans such as one student not having their current diagnosis in the overview at the front of their care plan.” from the report
Limited driving capacity
minorWeekend activities had improved, but staff and relatives said the number of staff able to drive was still an issue.
“Although, they were aware there was still an issue about how many staff could drive.” from the report
- 01How do you now assess whether a student has capacity before applying for any restriction on their liberty?
- 02How do you check that every condition attached to an authorisation is followed?
- 03How will you make sure all 'when required' medicines have personalised protocols and complete records?
- 04How often are care plans checked for missing or contradictory information?
- 05What evidence can you show that the improvements found at this inspection have been maintained?
This inspection covered personal care and support at the registered care home sites and supported living settings, but CQC did not regulate the premises used for supported living. This explanation was written from the published report of 3 April 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Cambian Lufton Manor College
3 rated inspections over 3 years: the service has slipped, from Outstanding to Requires improvement.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Cambian Lufton Manor College →
- April 2020Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
Read what inspectors found at Cambian Lufton Manor College →
- November 2019Inadequatedown from OutstandingSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- April 2017OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- June 2014
Registered with the Care Quality Commission on 6 June 2014.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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76 live-in carers within about two hours of Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.