Cambrian Lodge

Updated 18 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 21 January 2022 and was announced. We gave the service 24 hours notice of the inspection.

Updated 18 February 2022

Cambrian Lodge provides accommodation and personal care for up to 28 older people. Some people living at the home were living with dementia. The home is large converted villa in a residential area of Portishead. The accommodation is set out over four floors which are accessed via two lifts and a staircase. At the time of our inspection there were 22 people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This was a comprehensive inspection carried out on 8 November 2018. The inspection was unannounced.

At our last inspection in November 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People remained safe at the service. During the inspection we were shown an area where work had started for the installation of a new boiler. Since the last inspection the service had acquired an additional hoist which can access all areas of the building. Staff understood safeguarding procedures and said they would not hesitate to report any concerns. Risk's to people safety and well-being were managed without imposing unnecessary restrictions on people. Medicines were managed safely ensuring people received their medicines as prescribed.

There were adequate hand washing facilities available and staff used personal protective equipment such as gloves and aprons when required. People also had personal evacuation plans in place in case of an emergency. The service ensured people had an assessment before moving into the home to confirm they could meet people’s needs. Care plans contained important information relating to peoplesslikes and dislikes, their previous occupation, families and routines. Care plans also contained risk assessments and support plans that confirmed people’s individual needs.

The care plans contained consent documents and assessments to demonstrate the service was working within the principles of the Mental Capacity Act 2005. Capacity assessments were in place including best interest decisions if required. People are supported to have maximum choice and control of their lives and staff do support them in the least restrictive way possible; the policies and systems in the service do support this practice. Both people and staff were happy in the service and all felt it was a homely positive environment which encouraged them to be as independent as possible.

People and staff felt that their views were sought and improvements were made to the service following this feedback. Where complaints were raised these were investigated and people had access to the provider’s complaints policy and procedures.

People felt supported by staff who were kind and caring and who respected their privacy and dignity. They were given choice about what they would like to eat and were complimentary about meals provided. People were supported and encouraged to spend their time on activities of their choice and visitors were free to visit when they wished.

There was access to a variety of activities which suited different abilities and interests such as gardening, chair exercises, singing and church service. Family members attended activities at the service and were free to come and go as they pleased. The service had a positive working relationship with professionals.

Staff had daily handover meetings and staff meetings to ensure they were up to date with any changes to people’s care needs. Where health needs had changed referrals where made to the appropriate health professionals. Notifications were made to the Care Quality Commission (CQC) when required.

Staff had training to support them in their role. The service undertook and supported staff to receive training and support to provide sensitive end of life care.

Further information is in the detailed findings below