CQC report explained · a residential care home
What the CQC found at Camelot Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and staff understood safeguarding and individual risks. Medicines, staffing, recruitment, infection control and accidents were managed appropriately.
- Effective?
- Good
- Staff training had improved and was up to date. People received food, drinks and health care that met their needs, and staff understood consent and mental capacity requirements.
- Caring?
- Good
- People described staff as kind and caring. Inspectors saw respectful interactions, support for independence, and attention to privacy and dignity.
- Responsive?
- Good
- Care plans described people's needs, preferences and life histories and were reviewed with people and relatives. The home provided activities, welcomed visitors and dealt with complaints appropriately.
- Well-led?
- Good
- Audits had improved and gave a clearer view of risks, incidents, training and staffing. People, relatives and staff knew the manager and said they could raise concerns.
What inspectors found, February 2020
Rated Good; inspectors found safe, kind and personalised care, with clear improvements since the previous inspection.
This was an unannounced planned inspection following the previous Requires Improvement rating. One inspector spoke with people, a relative, staff and the registered manager. They also checked care records, medicines records, recruitment files, complaints, accident records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, received their medicines properly, were treated kindly and had choices about their care and daily life.
The report says improvements had been made since the last inspection. Staff training was up to date, individual slings were being used correctly for hoisting, and audits gave better oversight of the service.
The previous breach about oversight of the service had been met. The report says legal requirements were met at this inspection.
Improved staff training
Training had been brought up to date after a previous inspection found delays. Staff said the training was useful and included both online and face-to-face learning.
“Training has really been improved. We have online training and face to face.” from the report
Safe moving and handling
The home had changed its practice so people had individual slings for hoisting. Staff understood how to use them, and inspectors saw this happening.
“There was now a detailed training plan in place and individual slings were used for people when they were hoisted.” from the report
Kind and respectful care
People said staff were caring. Inspectors saw staff protecting privacy, asking permission and encouraging people to remain independent.
“We saw lots of positive interactions between staff members and people living in the home.” from the report
Personalised support
Care plans included people's histories, likes, dislikes and preferences. People and relatives were involved in writing and reviewing them.
“Care plans were personalised to include people's life history, likes and dislikes and general preferences.” from the report
Better management oversight
The home had improved its quality checks. Audits covered areas such as incidents, falls, training, staffing and records.
“Audits provided a clear oversight of any patterns and trends related to the service, including but not limited to; recordings, accident and incidents, falls, training and staffing.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure staff training stays up to date, especially training relevant to my relative's needs?
- 02How do you check that the correct individual sling and other moving equipment are used for each person?
- 03How will my relative and our family be involved in creating and reviewing the care plan?
- 04What activities and one-to-one support would be available for my relative?
- 05How would you respond if we raised a concern or complaint?
This was an unannounced inspection of the care, premises and management of the home, covering all five CQC questions; the previous Requires Improvement ratings were reassessed. This explanation was written from the published report of 25 February 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, February 2019
Camelot Rest Home rated Requires Improvement; care was safe, kind and responsive, but training, equipment checks and management oversight needed improvement.
This was an unannounced comprehensive inspection on 27 November 2018. Inspectors spoke with people living in the home, a relative, staff and the registered manager. They also observed care and checked care, medicines, staff and management records.
The home was rated Good for Safe, Caring and Responsive. People were protected from abuse, risks were assessed, staffing levels appeared sufficient and medicines were given as prescribed. Staff were kind, respected people's choices and dignity, and care plans reflected people's needs, preferences and interests.
The home was rated Requires Improvement for Effective and Well-led. Some staff training was not up to date, hoist slings were not individual to each person, and checks had not identified these issues. The overall rating fell from Good at the previous inspection in June 2016 to Requires Improvement.
People felt safe
People told inspectors they felt safe. Staff understood safeguarding procedures and knew what to do about emergencies and risks.
“People continued to receive care that made them feel safe and staff understood how to protect people from abuse and harm.” from the report
Kind and respectful care
Staff knew people well and treated them with kindness, dignity and respect. People were supported to make choices and stay as independent as possible.
“We saw examples of people chatting and laughing with staff.” from the report
Personalised care
Care plans included people's needs, choices, backgrounds, interests and cultural or religious requirements. People were involved in creating and reviewing their plans.
“Care plans included, but were not limited to; pain, continence, mental health, eating and drinking, falls risk and skin issues.” from the report
Healthcare and medicines
People received medicines as required and could access healthcare appointments and professional support when needed.
“We found that people received their medicines as required and that records tallied with medications available.” from the report
Staff training records
needs fixingSome staff had not received up-to-date mandatory training. The training record was not current, making it difficult to see what was outstanding.
“We saw that some staff members had not received up to date mandatory training.” from the report
Hoist sling use
needs fixingThe same hoist slings were not reserved for individual people. Inspectors said this created some risk of cross contamination.
“When assisting people to mobilise with a hoist, a specific sling was not used for each individual person, meaning that there was some risk of cross contamination.” from the report
Management checks
needs fixingAudits had not identified the training gaps or the use of shared hoist slings. This meant some risks were not found through routine monitoring.
“Audits over time had not discovered the discrepancy in staff attending training.” from the report
- 01Have all staff now completed the mandatory training that was outstanding at the inspection?
- 02Are hoist slings now individual to each person, and how is this checked?
- 03What changes have been made to audits so that training and equipment risks are identified promptly?
- 04Have regular staff meetings restarted, and how are staff concerns about people's care acted on?
- 05What improvement has been made since the Effective and Well-led ratings fell from Good?
This was an unannounced comprehensive inspection covering all five key questions, with observations, discussions and checks of care, medicines, staff and management records. This explanation was written from the published report of 22 February 2019 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 Rest Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Requires improvementdown from GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- June 2012
Registered with the Care Quality Commission on 7 June 2012.
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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