Archived: Pembridge Road

Updated 3 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 12 July 2018 and was unannounced. The inspection team consisted of two inspectors.

As part of the inspection, we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We reviewed feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with one person who used the service and four relatives. We also spoke with the manager, the deputy manager and four staff.

We observed the delivery of care and support provided to people living at the location and their interactions with staff. We reviewed the care records of two people and three staff files, which included pre-employment checks and training records. We also looked at other records relating to the management of the service including complaint logs, accident reports, monthly audits, and medicine administration records.

Updated 3 August 2018

This inspection took place on 12 July 2018 and was unannounced. This was a first ratings inspection.

Pembridge Road 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. Pembridge Road accommodates up to seven people in one adapted building. At the time of the inspection there were four people living in the care home.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a manager in post, they were in the process of registering with us (Care Quality Commission) and were waiting for their interview. 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 protected from avoidable harm and abuse. Risks were assessed and managed to keep people safe and staff were aware of how to follow risk management plans. Premises and equipment were maintained to minimise the risk of infection. People were supported by sufficient, safely recruited staff. Medicines were administered safely. The manager had systems in place to learn when things went wrong.

People’s needs were assessed and they had effective care plans in place. Staff were given an induction and received on-going training. Competency was checked to ensure they could provide people with effective support.

People received consistent support from staff and were able to choose what they had to eat and drink and were supported safely. The environment was designed and adapted to meet the needs of people. People had support to maintain their health and wellbeing and had access to health professionals. 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 supported by staff that were kind and caring and had good relationships with people. Peoples communication needs were assessed and care plans were in place. People were supported to make choices and retain their independence. People were treated with dignity and respect.

Peoples preferences were understood by staff, their diverse needs were planned for and they received support to meet them, with regular reviews and updates carried out. People could take part in things which were of interest to them and were supported to set and reach goals. Complaints were investigated and responded to in line with a policy.

People and their relatives were asked for their feedback. Systems were in place to check on the quality of the service people received. The manager used the systems to make improvements. The manager had systems in place to monitor the delivery of people’s care and everyone we spoke with said the manager was approachable.