We carried out a review of the data available to us about Pembroke Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Pembroke Lodge, you can give feedback on this service.
We found the following examples of good practice.
The registered manager had identified, assessed and mitigated all COVID-19 related risks to people, staff and visitors.
The registered manager had an effective monitoring system in place to check that the service was following government guidance and the provider's own policies.
Staff were confident and knowledgeable about government guidance and what visitors were required to do prior to entering the service. Professional visitors provided a negative lateral flow test result from that day.
Staff and people received regular testing for COVID-19. People were encouraged and supported to leave the service to visit relatives or access the local community. Relatives were able to visit their family members in communal areas and the garden.
Staff wore appropriate PPE and had access to this throughout the home. Staff had received additional training during the pandemic about correct PPE usage and infection prevention and control from the provider.
Pembroke Lodge provides care, support and accommodation for up to 15 people with physical and mental health needs. Accommodation was spread over two floors. At the time of the inspection there were 15 people living at the service.
People’s experience of using this service and what we found
People spoke positively about living at the home. One person said, "I would rate it as 12 out of 10. It’s tremendous.”
People told us they felt safe. There were systems and processes in place to help protect people from the risk of abuse. There were enough staff on duty to meet people’s needs. Staff understood the needs of the people they supported well. Safe recruitment procedures were followed.
There was a positive approach to safety and risk which was not restrictive for people. 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.
People had a choice and access to sufficient food and drink. Staff supported people to buy, prepare and cook food. People were supported to have access to a range of healthcare professionals to ensure they remained healthy.
People were treated with kindness. There was a happy family atmosphere, people and staff cared about each other and enjoyed spending time together.
People's care was developed around their wishes, preferences and goals. Staff had explored what opportunities were available within the local community to promote inclusion.
A range of audits and checks were carried out to monitor the quality and safety of the service. Action was taken if any issues or concerns were identified.
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 7 September 2018). Since this rating was awarded, the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the 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.