21 March 2023
During an inspection looking at part of the service
People’s experience of using this service and what we found
Although some improvements were noted since our last inspection in June 2022, not all risks for people using the service were recorded in sufficient detail to mitigate the risk or potential harm for people using the service. Improvements were still required to some aspects of medicines management. We have made a recommendation about this.
People were at risk of harm and injury because poor moving and handling practices were witnessed during the inspection. Poor deployment of staff meant people’s needs were not always met. Governance arrangements at the service continued to require improvement to ensure improvements were sustained in the longer term.
People told us they were safe. Suitable arrangements were in place to protect people from abuse and avoidable harm. Staff demonstrated an understanding of safeguarding and how to raise concerns internally and external agencies. Staff recruitment practices at Cameron House were safe. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 16 August 2022).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made in relation to the provider’s safeguarding arrangements and they were no longer in breach of Regulation 13 (Safeguarding service users from abuse and improper treatment) but remained in breach of Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance).
The service remains rated Requires Improvement. The service has been rated Requires Improvement for the last two consecutive inspections.
Why we inspected
This inspection was prompted by a review of the information we held about this service and in part due to concerns received about medicines management.
A decision was made for us to inspect and examine those risks. We undertook a focused inspection to review the key questions of Safe and Well-Led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has remained the same based on the findings of this inspection for a second consecutive time.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cameron House on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to risk management, staffing and quality assurance at this inspection.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.