CQC report explained · a residential care home
What the CQC found at Cambrian Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, safe admissions, PPE, testing, hygiene and visiting arrangements. They also recorded that staffing levels were sufficient to meet people's needs.
- Effective?
- Good
- This area was not covered by this targeted inspection.
- Caring?
- Good
- This area was not covered by this targeted inspection.
- Responsive?
- Good
- This area was not covered by this targeted inspection.
- Well-led?
- Good
- This area was not covered by this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors were assured about infection control, visiting arrangements and staffing during the COVID-19 pandemic.
This was a targeted inspection on 21 January 2022. Inspectors looked at infection prevention and control, visiting arrangements, COVID-19 staffing pressures and safe admissions. The inspection was announced with 24 hours' notice.
Inspectors were assured that the home was using personal protective equipment safely, arranging testing, following visiting procedures and keeping its infection control policy up to date. Staff had supplies of PPE and training in how to use it.
Relatives said they had no concerns about cleanliness and hygiene. Inspectors also found there were enough staff to meet people's needs, and that staff received support if they had to isolate.
The home was inspected but not rated. This was not a full inspection of all five areas of care, so the report does not provide an overall quality rating.
Infection control
Inspectors were assured that the home had measures to prevent and manage infections, including an up-to-date policy and safe hygiene practices.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
PPE and staff support
Staff had good supplies of PPE and training in how to use it. They also received financial support if they needed to isolate.
“Staff confirmed they had good supplies of PPE and had training in how to use it effectively.” from the report
Visiting arrangements
Visitors were asked to take a lateral flow test, have their temperature checked and use PPE. The home displayed signs explaining the procedures.
“Visitors were expected to undertake a Lateral Flow Test (LFT) before entering the home.” from the report
Staffing
The report says there were enough staff to meet people's needs and that the home had not been badly affected by pandemic-related workforce pressures.
“There had sufficient staff to meet people's needs.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control, testing and PPE arrangements are in place now?
- 02How do you check that visitors and visiting professionals follow the current entry requirements?
- 03How many staff are currently on duty for each shift, and have staffing pressures affected care?
- 04What procedures do you follow when someone is admitted to the home?
- 05How do you support staff who need to isolate, and how does this affect staffing cover?
This was a targeted inspection of infection prevention and control, visiting arrangements, staffing pressures and safe admissions; it did not provide a full rating for the other areas of care. This explanation was written from the published report of 18 February 2022 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, December 2018
Rated Good; inspectors found safe, kind and responsive care, with some detail still needed in as-needed medicines plans and end-of-life planning.
This was an unannounced comprehensive inspection on 8 November 2018. Inspectors observed care, spoke with people, relatives, staff and a health professional, and reviewed care plans, staff records, medicines, complaints, accidents, training and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe, staff were kind and respectful, care was personalised, and people were supported with meals, activities and healthcare.
The overall Good rating stayed the same as at the previous inspection in November 2016. Inspectors found no serious risks or concerns, but noted that some as-needed medicines instructions lacked detail and that end-of-life planning was still being developed.
People felt safe
People and relatives consistently told inspectors they felt safe and secure. Staff understood safeguarding procedures and risk assessments gave guidance on reducing harm.
“Without exception people and their relatives, we spoke with felt safe and secure at Cambrian Lodge.” from the report
Kind and respectful care
Staff were observed treating people with kindness, compassion, dignity and respect. They knew people well and supported their independence.
“Staff were seen to interact with people in a kind and compassionate manner.” from the report
Personalised care
Care plans recorded people's preferences, routines, likes, dislikes, life history and communication needs. Staff used this information in day-to-day support.
“Peoples care plans were detailed and provided information about people's choice, preferred routines, behaviours and how best they like to be supported.” from the report
Activities and choice
People could choose from activities suited to different interests and abilities, and could decide whether to join in. Visitors were welcome without restrictions.
“There was access to a variety of activities which suited different abilities and interests such as gardening, chair exercises, singing and church service.” from the report
Open management
The management team used meetings, handovers, audits, surveys and residents' meetings to monitor the service and gather views.
“Residents meetings were held every four weeks to provide people and their relatives with an opportunity to discuss the service.” from the report
As-needed medicines instructions
needs fixingThe report found that instructions for as-needed medicines did not always give enough personal detail. This could make it harder for staff to recognise when someone needed the medicine.
“However we found PRN protocols lacked individualised detail to ensure staff could recognise when people may require their medicine.” from the report
Staffing feedback
needs fixingSome people and relatives said staffing could be short, particularly at weekends. Inspectors saw adequate staff on the day and found call bells were answered within a short time.
“Definitely need more help, slightly worse at weekends” from the report
End-of-life planning
minorSome people's end-of-life wishes were recorded, but the home was still developing this work and arranging further training.
“The registered manager and the regional manager confirmed that this was work in progress.” from the report
- 01How have you improved the detail in people's as-needed medicines instructions since this inspection?
- 02How do you check staffing levels at weekends, when some relatives previously felt more help was needed?
- 03How are each person's end-of-life wishes recorded, reviewed and shared with the staff team?
- 04How do you make sure care plans stay up to date when a person's health or support needs change?
- 05What activities are available for someone with my relative's interests, abilities and communication needs?
This was an unannounced comprehensive inspection covering all five questions, and the ratings remained Good from the November 2016 inspection. This explanation was written from the published report of 11 December 2018 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 Cambrian Lodge
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- September 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 January 2011.
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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23 live-in carers within about an hour of North 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 £1,050 to £1,320 a week. 19 can care for a couple. 12 years' experience on average.
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