We carried out an unannounced inspection of Cambron House on 9 October 2018. Cambron House is a care home which provides nursing care and support for up to 38 older people. At the time of this inspection there were 31 people living at the service. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is a detached building on two floors with access to the upper floor via stairs or a passenger lift. Some rooms have en-suite facilities and there are shared bathrooms, shower facilities and toilets. Shared living areas include a lounge on the ground floor, a reminiscence room and a dining room. The service stands in its own grounds with accessible mature garden areas.

There was a registered manager in post who was responsible for the day-to-day running of the service. 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 the first inspection of the service since a change of registered provider.

People told us that they felt safe living at Cambron House. Staff had received safeguarding training and understood how to recognise and report abuse. We observed warm and friendly interactions between staff and people throughout the inspection. Staff knew people well.

People's risks were well documented and care was provided to people in the least restrictive way whilst being aware of people's personal risks. Risks were regularly reviewed.

Medicines were well managed and people received their medicines safely and on time. People received 'as needed' medicines when necessary. There were protocols to guide staff when to administer these medicines.

Staff were aware of infection control and how to keep people safe from the spread of infection. The home provided gloves and aprons for staff when delivering personal care. There were regular maintenance checks and staff were aware of how to report maintenance issues.

Staff received regular supervision, appraisal and training to support them in their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

There were individualised care plans written from the point of view of the people that were supported. Care plans were detailed and provided enough information for staff to support people. Care plans were regularly reviewed and updated immediately if changes occurred.

There was a variety of activities that people could choose to take part in. People were supported and encouraged to engage in activities. People received good quality food and there were always drinks available to ensure hydration. Where people required specialist diets, we saw that this was being provided.

People and relatives were encouraged to help plan end of life care in a tailored way. Staff were compassionate regarding caring for people at the end of their lives.

There was a complaints process in place and people and relatives knew how to make a complaint. Complaints were investigated and followed up.

Visitors told us that they felt welcome within the home and able to visit whenever they wanted.

Audits were carried out across the service on a regular basis on medicines management, health and safety and the quality of care. Surveys were completed with people who use the service and their relatives. Where issues or concerns were identified, the manager used this as an opportunity for change to improve care for people.

People and relatives felt the registered manager and management team were accessible