Pembroke Lodge

Updated 12 July 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 16 June 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 12 July 2022

About the service

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.