Background to this inspection
Updated
14 February 2020
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. This inspection was planned to check 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 Care Act 2014.
Inspection team
The inspection was conducted by one inspector.
Service and service type
Pembroke Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC)regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at information we held about the service, including notifications about events that had happened at the service. We contacted relevant agencies for feedback. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with four members of staff including the registered manager, a senior carer, a domestic assistant and the cook. We looked at records related to people’s care and the management of the service. We viewed two people's care records, medication records, three staff recruitment and induction files, training and supervision information and records used to monitor the quality and safety of the service.
Updated
14 February 2020
About the service:
Pembroke Residential Home is a care home providing personal and nursing care to eight people at the time of the inspection. The service can support up to 12 older people, some of whom may be living with dementia.
People’s experience of using this service and what we found:
People received safe, person-centred care from a staff team who knew their needs well. Risk assessments detailed preventative measures in place, so staff could manage them. Medicines were managed, stored and disposed of appropriately. Staff felt supported through regular supervisions, meetings and training.
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 supported this practice. People were offered choice and their decisions were respected. People were supported to access appointments in relation to their health and well-being. People’s nutrition and hydration needs were monitored when issues were identified. People enjoyed plenty of choice during mealtimes and were offered regular refreshments throughout the day.
Staff were kind and caring towards people, whilst respecting their privacy and dignity. Staff described how they promoted people to be as independent as they could be. Care plans included relevant information about people’s likes, dislikes and preferences. These were reviewed regularly or when people’s needs changed. Staff engaged people in activities and events, some people accessed facilities outside the service independently.
The staff were friendly and welcoming. The registered manager encouraged an open and honest culture within the service. The registered manager was proactive throughout the inspection and committed to continually improving the service. The registered manager had engaged people, their relatives and staff through meetings, satisfaction surveys and informal chats to gain their feedback about the service. Quality assurance processes were in place which identified where improvements could be made and any actions taken.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 11 August 2017).
Why we inspected:
This was a scheduled inspection based on the service’s previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.