CQC report explained · a nursing home
What the CQC found at Cambron House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks were assessed and managed, there were enough staff, recruitment checks were completed and infection control procedures were followed. Some medicine documentation was not consistent, but it was reviewed and amended immediately.
- Effective?
- Good
- Staff had suitable training and support, and worked with health professionals. The home followed the principles of the Mental Capacity Act and supported people with food, drink and healthcare.
- Caring?
- Good
- Staff were kind and respectful. Inspectors saw people treated with dignity, involved in decisions and supported as individuals.
- Responsive?
- Good
- Care plans recorded people's likes, dislikes and preferences. People were supported with activities, communication, relationships and end-of-life care.
- Well-led?
- Good
- Inspectors found effective quality monitoring, open communication and action plans for improvement. Staff and relatives reported positive changes under the current management.
What inspectors found, August 2021
Rated Good; inspectors found kind, safe and personalised care, with minor medicine documentation issues corrected during the visit.
This was an unannounced follow-up inspection on 28 July and 4 August 2021. Two inspectors spoke with people, relatives, staff and health professionals. They observed care and reviewed care, medicine, staffing and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, suitable infection control, medicines systems and good support from health professionals.
Staff were described as kind and respectful. Care plans reflected people's preferences and needs. People were supported with activities, communication, meals, healthcare and end-of-life care.
The home had previously been rated Inadequate and placed in Special Measures, with several legal breaches. Inspectors found improvements and no current breaches, so the home was no longer Inadequate or in Special Measures.
Risk and safety
Care plans included detailed risk assessments. Staff understood safeguarding procedures and inspectors found enough staff to meet people's needs.
“Risks were assessed and managed to keep people safe. Care plans contained good detailed risk assessments to ensure people's safety.” from the report
Kind and respectful care
Inspectors saw staff treating people with compassion, dignity and respect. Staff understood people's personalities, needs and choices.
“Staff were kind and caring. We observed staff spoke with people showing compassion and respect.” from the report
Personalised support
Care plans recorded people's preferences and staff knew how to support them in line with their individual needs.
“The plans were person-centred and written with the involvement of the person and their relative where applicable.” from the report
Improved leadership
The report found a more open culture, good communication and effective quality monitoring. Staff and relatives reported clear improvements.
“The quality assurance systems which were in place to monitor the service were effective.” from the report
Medicine records
minorSome medicine documentation was not consistent. The manager reviewed and amended the records during the inspection and completed staff supervision to embed the new systems.
“However, we identified some documentation was not always consistent.” from the report
- 01What checks are now in place to make sure medicine documentation remains complete and consistent?
- 02Which further improvements to the building and garden were planned, and have they now been completed?
- 03How many staff are on duty for each shift, and how is this matched to residents' needs?
- 04How are relatives kept informed when a person's health or care needs change?
- 05How are people's end-of-life wishes, including religious or cultural needs, recorded and reviewed?
This was an unannounced follow-up inspection after an Inadequate rating; it checked the overall service and infection prevention and control, with all five key questions rated again. This explanation was written from the published report of 21 August 2021 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 2021
Cambron House: inspected but not rated; improvements were found, but the home remained inadequate and in special measures.
This was an unannounced, targeted inspection on 7 April 2021. Inspectors checked whether the home had acted on a warning notice about its systems for monitoring quality. They spoke with two people, eight staff members and reviewed care records, incident records, weight records, audits and other management information.
Inspectors found that a new manager and the providers had introduced effective quality checks. These checks identified areas needing improvement, including weight loss and incident monitoring. The providers had met the warning notice requirements, but the new systems still needed to become established and continue over time.
Staff said the home had improved, and that they felt listened to and supported. Inspectors saw mostly person-centred care and staff who knew people well. The overall rating stayed inadequate because this was a targeted inspection and did not reassess the whole service.
Improved quality checks
The new monitoring systems identified areas needing improvement, including weight loss and incidents. Inspectors found these systems effective and robust, although they still needed to become established.
“We found the systems being used were effective in identifying areas for improvement to ensure the service improved outcomes for people who used the service.” from the report
Staff felt supported
Staff told inspectors that the home had improved and that they felt listened to and supported. They were clear about their roles and responsibilities.
“Staff we spoke with told us the service was much improved, they felt listened to and supported.” from the report
Person-centred support
Inspectors observed mostly person-centred support. Staff knew people well and understood how to meet their needs.
“Predominantly, support we observed was person centred and staff we spoke with knew people well and how to meet their needs.” from the report
Warning notice addressed
The providers and new manager had made improvements in the area covered by the warning notice. Inspectors found that its requirements had been met.
“At this visit we found improvements had been made and the providers had met the requirements of the warning notice.” from the report
Overall rating remained inadequate
seriousThe home remained inadequate and in special measures. This inspection did not check every area of care, so it did not change the previous overall rating.
“The overall rating for this service is 'Inadequate' and the service remains in 'special measures'.” from the report
New systems need to last
needs fixingThe quality checks were new and inspectors said they needed to be embedded into everyday practice and sustained.
“These new systems required embedding into practice to ensure they were sustained.” from the report
No registered manager
minorThere was no manager registered with the CQC at the time of the inspection. The new manager was applying to register.
“The service did not have a registered manager.” from the report
Further staff support needed
needs fixingThe manager recognised that more training and support were needed to help staff develop their roles and improve outcomes.
“The manager was aware further training and support was required.” from the report
- 01What quality checks are now used for weight loss, incidents and accidents, and how do you show that identified problems are followed up?
- 02When will the new manager's CQC registration application be completed?
- 03What further training and supervision will staff receive to improve person-centred care?
- 04What improvements have been made since this targeted inspection, and what will be checked at the next inspection?
- 05How are relatives and people living at the home involved in raising concerns and reviewing the service?
This was a targeted inspection of specific concerns about Well-led and Regulation 17; the other key question ratings and the overall rating were not reassessed and carried over from the previous inspection. This explanation was written from the published report of 20 April 2021 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 Cambron House
3 rated inspections over 3 years: the service has held its Good rating throughout.
- August 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2021Inspected but not ratedWell-led: Inspected but not rated
- February 2021Inadequatedown from GoodSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- November 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2017
Registered with the Care Quality Commission on 6 October 2017.
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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