We inspected this service on 11 and 15 October 2018. Camellia House is a ‘care home’. 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.

This service is also a domiciliary care agency. It provides personal care to 14 people living in their own houses and flats. It provides a service to older adults.

The service is operated from the provider’s home in the Nottinghamshire village of Calverton.

A registered manager was in place. 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.

At our last inspection 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.

People continued to feel safe and staff ensured that risks to their health and safety were reduced. We found that sufficient staff were deployed to safely meet people’s needs and that staff had received appropriate training to ensure they had the knowledge to protect people whilst providing care.

People were protected from the risks of infection as the service employed dedicated cleaning staff to ensure the environment was clean and had appropriate policies and procedures to monitor and reduce the risk

Systems were in place to support people to take their medicines. Staff received relevant training and felt well supported. People were asked for their consent and appropriate steps were taken to support people who lacked capacity to make decisions.

People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people and the staff who cared for them. Staff promoted people's right to make their own decisions where possible and respected the choices they made. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Care plans were in place, which provided information about the care people required.

People knew how to make a complaint and there was a clear complaints procedure in place.

When people were at the end of their life the service had effective measures in place to support them and ensure their wishes and needs were met.

An open and transparent culture enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff.

There were robust quality monitoring procedures in place. The management structure of the service was clear.

Further information is in the detailed findings below

We inspected the service on 15 March 2016. The inspection was announced. Camellia House is owned and managed by Ms Judith Lakin and offers accommodation for to up to four older people. On the day of our inspection four people were using this part of the service. The service also operates a domiciliary care service which provides care and support to people living in their own homes and there were 16 people using this.

The service had a registered manager in place at the time of our inspection. 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.

People were supported by staff who knew how to recognise abuse and how to respond to concerns. Risks in relation to people’s daily life were assessed and planned for to protect them from harm.

People were supported by enough staff to ensure they received care and support when they needed it. Medicines were managed safely and people received their medicines as prescribed.

People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support. People were supported to make decisions and staff knew how to act if people did not have the capacity to make decisions.

People were supported to maintain their nutrition and staff were monitoring and responding to people’s health conditions.

People lived in a service where staff listened to them. People’s needs were recognised and responded to by a staff team who cared about the individual they were supporting. People were supported to enjoy a social life.

People were involved in giving their views on how the service was run and there were systems in place to monitor and improve the quality of the service provided.

The provider operates two separate services from this location. This inspection looked at the service which provides the regulated activity personal care. Prior to our visit we reviewed all the information we had received from the provider. During the visit we spoke with four people who used the service and one relative and asked them for their views. We also spoke with two care workers, the care coordinator and the registered manager. We looked at some of the records held in the service including the care files for five people.

We found people gave consent to their care and received care and support that met their needs. A person who used the service told us, “They have written a plan based on what I want. I saw it and signed it.” Another person told us, “They definitely know me inside out, back to front and upside down! I am happy with my care arrangements.”

We found people who used the service were kept safe and protected from harm. Staff knew how to respond to any allegation of abuse. We asked a person if they felt safe using the service and they replied, “I feel quite safe with the carers.”

We found the staff team were supported through training and the provider assessed and monitored the quality of the service. A person told us, “They help me change my tracheotomy, that is really hard to do but they know how.” Another person had commented on a care plan review form, “I am happy with my care.”

We spoke with three people who said they felt they were helped to maintain their independence and had their privacy and dignity respected. One person said, “My privacy and dignity is respected. I am very happy, I am able to be independent.” They also said, “I have seen my care plan. I agree with it.” Someone else told us, “I shaved myself.”

People had stated in survey forms they completed they were happy with their care and their care plans. One person said, “It is very good here.”

People said they felt they received the support they needed with their health and personal care. One person told us, “They give me my medication. I used the call bell once when I was a poorly.” Another person said, “I get a bath when I want one.”

We asked people if they felt safe in the home and they said they did. One person told us, “There is always someone about.” Another person said, “The gates are always locked at night.”

People told us they felt the staff had the skills they needed to carry out their duties. One person said, “The staff seem to be trained“ and someone else told us, “The staff will do anything I ask them to.”

We were also told by one person, “Everything is run very well. The heating is on when it is cold.”