Camberwell Lodge

Updated 10 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors, 2 Specialist Professional Advisors who were both registered nurses and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Camberwell Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Camberwell Lodge is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced. We informed the provider we would be returning to continue the inspection the next day.

What we did before inspection

We reviewed information we had received about the service since the service was registered. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, the clinical lead, the deputy manager, the senior customer relations manager, the chef, 3 nurses and 3 care assistants. We spoke with 10 people receiving care and 2 relatives. We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at seven staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. After the inspection we made calls to 13 relatives of people receiving care. We also sent questionnaires to 30 members of staff to get their feedback of the service and we received 7 responses.

Updated 10 February 2023

About the service

Camberwell Lodge is a residential care home providing nursing personal care and support to younger adults, older people and people living with dementia. The service can support up to 98 people. At the time of our inspection there were 56 people using this service.

People's experience of using this service

The systems and processes in place did not always ensure people’s safety. The process for ensuring people’s skin integrity was maintained was not robust. Pressure relieving mattresses were on the wrong setting and guidelines for changing dressings were not always followed properly. Medicines were not always managed safely. People receiving care, their relatives and staff gave mixed views about safety and staffing levels. Many people felt staffing levels were compromising the quality and safety of the service. We were not assured there were sufficient numbers of suitably qualified staff on duty at all times.

The provider did not always understand their responsibility to submit the relevant notifications as we identified an incident involving the police which we had not been informed about. Complaints were dealt with in line with the provider’s complaints policy. However, people told us they were not always satisfied with how their complaint had been dealt with.

Staff usually worked well with other health and social care professionals to ensure people’s health needs were being met. However, we found some examples where records were not kept in line with recommendations. Staff received an induction and ongoing training and support suitable to their role. 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.

Most people told us they were treated with respect and dignity from kind and caring staff. We observed positive interactions between people receiving care and staff and this corresponded to feedback we received.

The provider supported people to plan their end of life wishes and worked with the local hospice service to ensure people’s end of life care was well planned. The care home offered a range of communal and one-to-one activities to keep people occupied and stimulated.

There were a range of audits and quality assurance checks but these were not always effective and did not identify and/or resolve all the issues we found. The service had recently had large influx of new residents and the service had planned and executed many aspects of the transition well for most people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The service was registered with us on 19 May 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels and poor management of medicines. A decision was made for us to inspect and examine those risks and to provide a rating of this newly registered service.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well-led sections of this full report.

Enforcement and recommendations.

We have identified breaches in relation to management of medicines, risk management, staffing and good governance at this inspection. Please see the action we have told the provider to take at the end of this report. We have made recommendations in relation to monitoring and recording and responding to complaints.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.