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CQC report explained · a residential care home

What the CQC found at Royal Cambridge Home

Goodpublished 20 November 2019, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, medicines, infection control, equipment and recruitment were managed safely, although inspectors saw that staff deployment could have been better during one incident involving ringing call bells.
Effective?
Good
Staff had relevant training and support, and people received help with food, health appointments and changing health needs. Care was delivered in line with relevant guidance and consent was sought appropriately.
Caring?
Good
Staff were kind, respectful and consistent. People and relatives were involved in care decisions, and staff supported people's privacy, independence, religious needs and relationships.
Responsive?
Good
People received personalised care and had access to activities, outings and the local community. Their communication needs, dietary needs and complaints were taken seriously.
Well-led?
Requires improvement
The management team was approachable and sought feedback, but care records were not always complete, accurate or up to date. Inspectors said this created a risk that people could receive inappropriate care.
The latest report, explained

What inspectors found, November 2019

Rated Good overall, but well-led Requires Improvement because care records were not always accurate or up to date.

This was an unannounced planned inspection on 19 September 2019. Three inspectors spoke with people living at the home, relatives, staff and a healthcare professional. They also checked care records, medicines, staff files, accidents, meetings, complaints and quality checks.

Inspectors found that people were safe, supported by skilled staff and treated with kindness and respect. Staff understood people's needs and preferences. People had access to healthcare, activities, outings and food suited to their needs. The home was not taking permanent admissions because redevelopment plans were being considered.

The overall rating was Good. Safe, Effective, Caring and Responsive were all rated Good. Well-led was rated Requires Improvement because some care records were incomplete, out of date or did not reflect people's current needs. The provider was recommended to improve its monitoring of care records.

What inspectors praised
  • Kind and consistent staff

    People received care from staff who knew their needs, interests and preferences. Relatives described a family feel and said staff were respectful.

    “People received their care from consistent staff who knew their needs, interests and preferences about their support.” from the report
  • Safe medicines and risk management

    Medicines were managed safely and staff checked that people had taken them before recording this. Risks, equipment, fire safety and infection control were also monitored.

    “Medicines were managed safely. There were appropriate arrangements for the ordering, storage and disposal of medicines.” from the report
  • Good health support

    Staff noticed changes in people's health and arranged medical help when needed. They worked effectively with GPs, nurses and other professionals.

    “People were supported to maintain good health and to access healthcare services when they needed them.” from the report
  • Activities and community links

    People could take part in activities, events, outings and trips to local shops, cafes and other places. Staff took steps to reduce social isolation.

    “People had access to a range of activities, events and outings.” from the report
What inspectors were concerned about
  • Staff deployment during call bells

    minor

    Inspectors saw two bedroom call bells ringing while other staff were available but did not respond immediately. The manager agreed to review how staff were deployed.

    “During the inspection we observed an incident in which staff could have been better deployed to meet people's needs effectively.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that every care plan is complete, accurate and up to date?
  2. 02What action was taken after the inspection found a missing nutritional care plan and an outdated 15-minute check?
  3. 03How do you make sure call bells are answered promptly when staff are carrying out other tasks?
  4. 04How are agency staff introduced to people's individual needs and preferences?
  5. 05What progress has been made with the proposed redevelopment and how would it affect residents?

This was an unannounced planned inspection covering all five CQC questions; permanent admissions were paused because redevelopment plans were being considered. This explanation was written from the published report of 20 November 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.

The story over the years

Every inspection of Royal Cambridge Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. November 2019Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Royal Cambridge Home →

  2. September 2018

    Registered with the Care Quality Commission on 25 September 2018.

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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