CQC report explained · a nursing home
What the CQC found at Camelot Nursing and Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, medicines, staffing, recruitment and infection control were managed safely. Improvements had been made since the previous inspection, including better monitoring of wounds, falls and time-specific medicines.
- Effective?
- Good
- This question was not assessed during this focused inspection. Its rating was carried forward from the previous inspection.
- Caring?
- Good
- This question was not assessed during this focused inspection. Its rating was carried forward from the previous inspection.
- Responsive?
- Good
- This question was not assessed during this focused inspection. Its rating was carried forward from the previous inspection.
- Well-led?
- Good
- Inspectors found stronger management systems, an open culture and a working improvement plan. However, audits had not always identified inconsistencies in some care records.
What inspectors found, November 2022
Rated Good; inspectors found safe, kind care and stronger management, but some care records were still inconsistent.
This was an unannounced focused inspection. Inspectors visited on 24 October 2022 and reviewed information, care records, medicines records, staff files and management records. They spoke with people, relatives, staff and a health care professional.
The home was rated Good for Safe and Well-led. Inspectors found that risks, medicines, staffing, recruitment and infection control were managed safely. People said they felt safe and were treated well. Staff were described as kind, available and familiar with people's needs.
The home had improved since the previous inspection, which was rated Requires Improvement. The provider was no longer in breach of Regulations 12 and 17. However, some night-time records about people's position changes were incomplete, and audits had not always found these inconsistencies.
Safe care and risk monitoring
The home had improved how it tracked wounds, falls and other risks. Care plans and monitoring systems helped staff respond to people's health needs.
“Risks to people were assessed and mitigated.” from the report
Medicines given safely
Registered nurses were trained and checked as competent. People needing medicines at specific times received them at the right time.
“People who required time specific medicines received them at the right time each day.” from the report
Enough familiar staff
Inspectors found enough staff to support people safely. Staff were available, call bells were answered promptly and people said staff had time for them.
“Staff appeared relaxed and unhurried throughout the inspection and were available to assist people as requested.” from the report
Open management
People, relatives and staff could raise concerns and make suggestions. The manager worked alongside staff and used feedback and improvement plans to make changes.
“The registered manager had created an open culture where people, their relatives and staff could approach them with concerns, suggestions and ideas.” from the report
Incomplete care records
needs fixingSome night-time records did not show that people's position changes had been recorded in line with their care needs. The manager gave staff extra training and changed the auditing system after inspectors identified this.
“Night-time documentation of people's position changes were not always completed in line with their assessed needs.” from the report
Mixed family involvement
minorSome relatives were unsure whether they had been involved in reviewing their loved one's care plan. Ask how the home keeps families involved and records their views.
“We received mixed feedback from relatives about their involvement with their loved one's care.” from the report
- 01How do you now check that night-time position-change records are completed accurately?
- 02How will you involve my relative and our family in reviewing and updating the care plan?
- 03What systems do you use to monitor falls, wound care and other high risks?
- 04Who will give medicines that must be taken at a specific time, and how do you check they are given on time?
- 05What improvements are still open on the quality improvement plan?
This was a focused inspection of Safe and Well-led only; the other question ratings were carried forward from the previous inspection. This explanation was written from the published report of 16 November 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, August 2021
Camelot Nursing and Residential Care Home was rated Requires Improvement; inspectors found kind care but serious gaps in safety checks, medicines oversight and management systems.
Inspectors visited on 3 and 4 June 2021. They spoke with people living at the home, relatives and staff. They reviewed care records, medicines records, staff files, rotas and management records.
Some improvements had been made since the previous inspection. The home was clean, infection control arrangements were suitable, staff knew people well and people generally felt safe and cared for. However, wound care, falls monitoring, medicines records and staffing levels were not always managed safely.
The inspection was focused on Safe and Well-led. Both areas were rated Requires Improvement, so the overall rating also remained Requires Improvement. The report says there was limited assurance about safety and an increased risk that people could be harmed.
People felt safe
People and relatives generally said they felt safe. Staff had safeguarding training and knew how to report concerns.
“People told us they felt safe and felt comfortable speaking to staff if they had any concerns.” from the report
Staff knew people well
Care plans included detailed information about people's needs and risks. Staff were observed supporting people in line with their individual plans.
“Staff knew people well and were aware of people's risks and how to manage them.” from the report
Infection control
Inspectors were assured that the home followed infection prevention, testing, protective equipment and visiting arrangements during the COVID-19 period.
“We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
Safe recruitment and training
Recruitment checks were completed, and staff had induction and safety training.
“Staff were recruited safely, and recruitment systems were robust and ensured that staff had the right skills, training and experience to support people to stay safe.” from the report
Kind and person-centred culture
People and relatives described staff as warm and caring. The home had restarted activities and ways for people to share their likes, dislikes and food suggestions.
“The service had a positive culture that was person-centred, open, inclusive and empowering.” from the report
Wound care and falls
seriousOne person's wound dressings were not changed as their care plan required. Falls were not always investigated or followed up consistently, and the monitoring process was still new.
“Risks to people were not always managed safely and tracking and monitoring systems were not always effective in ensuring that people received safe care.” from the report
Medicines timing and checks
seriousThere was no clear care plan for people taking time-sensitive medicines. The home also lacked a formal process to check nurses' medicines competence.
“People who were prescribed time sensitive medicines specific to the individual did not have a medicines care plan or guidance for staff to inform them what times their medicines were due.” from the report
Staffing levels
needs fixingRotas showed that the assessed number of care and nursing staff was not always available. People and staff gave mixed views, including reports of delays in answering buzzers.
“Staffing rotas confirmed there was not always the assessed amount of care and nursing staff on each shift to support people.” from the report
Weak management checks
seriousQuality systems did not identify missed wound care, medicines monitoring problems or all recorded falls. The falls system recorded 13 falls when 24 had occurred.
“Quality assurance and management systems did not operate effectively to ensure that risks to people's health were managed safely.” from the report
No registered manager
minorThere was no manager registered with the CQC at the time of the inspection. The new manager intended to begin the registration process.
“At the time of this inspection the service did not have a registered manager.” from the report
- 01What changes have been made to ensure wound dressings are completed and checked on the dates in each person's care plan?
- 02How are falls now recorded, investigated and reviewed, including checks after a person hits their head?
- 03How do you make sure time-sensitive medicines are given at the correct times and that nurses' competence is formally assessed?
- 04What staffing levels are planned for each shift, and how do you respond when people have to wait for help?
- 05Has the manager now started or completed the CQC registration process, and what evidence can you show that the warning notice has been addressed?
This was a focused inspection of Safe and Well-led, with infection control also checked; the other key question ratings were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 17 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.
Every inspection of Camelot Nursing and Residential Care Home
4 rated inspections over 6 years: the service has held its Good rating throughout.
- November 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Camelot Nursing and Residential Care Home →
- August 2021Requires improvementSafe: Requires improvementWell-led: Requires improvement
Read what inspectors found at Camelot Nursing and Residential Care Home →
- March 2021Inspected but not ratedSafe: Inspected but not rated
- August 2019Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 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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