What the CQC found at Cambrian House

People and relatives spoke positively about the staff. Inspectors saw staff spending time with people, offering choices and using respectful communication.

“People we spoke with told us the staff were kind and caring.” from the report

An extra care worker was added in the afternoon, and kitchen staffing changes meant care workers no longer had to prepare tea as well as provide care.

“These changes have resulted in an additional member of staff on duty during the afternoon to care for people using the service.” from the report

People generally enjoyed the food and could request drinks. Healthcare professionals were involved when needed.

“People told us they enjoyed the food and were able to have a drink on request.” from the report

Staff training had improved since the previous inspection, including induction and food hygiene training. The earlier staffing breach had been resolved.

“Improvement had been made at this inspection and the provider was no longer in breach of regulation 18.” from the report

Communal toilets and bathrooms were clean and tidy. Staff were generally seen using infection control measures.

“Communal toilets and bathrooms were found to be clean and tidy and contained liquid soap and paper towels.” from the report

Hoists, slings and accessible baths did not have current safety certificates. The provider acted after inspectors raised this, but the home could not initially assure inspectors that the equipment was safe.

“Therefore, the provider could not be assured these items of equipment were safe to use.” from the report

Records did not always match the medicines given or remaining. This meant inspectors could not be sure people had always received medicines as prescribed.

“People's medicines were not always administered in accordance with the prescribed amounts and records were not always completed accurately.” from the report

People and relatives wanted more to do during the day. The home had no dedicated activities worker at the time of the inspection.

“At the time of this inspection the provider did not have a dedicated activities member of staff.” from the report

Some staff application forms were incomplete and did not include full work histories or explanations for gaps. This meant the provider could not fully assure itself about staff suitability.

“A full working history of new employees was not held and there was no explanation recorded for any gaps in their employment.” from the report

The home's checks had not identified equipment and medicine problems. Some audit scores were not recorded clearly enough to show whether action was needed.

“Systems and processes were found to require further improvement.” from the report