Random inspection report
Care homes for older people
Name: Address: Pembroke House 11 Oxford Road Gillingham Kent ME7 4BS three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sandra Crosby Date: 1 2 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Pembroke House 11 Oxford Road Gillingham Kent ME7 4BS 01634852431 01634281709 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Joan Lorna Trembeth Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Royal Naval Benevolent Trust care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 50 The registered person may provide the following category of service only: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Pembroke House provides residential and nursing care to former Royal Naval Ratings, other ranks from the Royal Marines, their wives and widows. The Royal Naval Benevolent Trust, a charitable non-profit making organisation owns and manages the home.
Care Homes for Older People Page 2 of 8 Brief description of the care home Pembroke House is a large detached property located in a residential area of Gillingham, Kent and within walking distance of shops and a large local park. Public transport, offering rail and bus links are located approximately half a mile away. The home was originally built in the 1920s, and was extended and modernised in the year 2000 and now offers accommodation for up to fifty service users. All residents rooms have en suite toilet facilities and are fitted with television and telephone points. Resident accommodation is arranged over three floors and is served by two passenger lifts. Each level has its own dining room and day rooms. On the ground floor the three day rooms can be opened up to provide a large function room with a purpose built bar. There is a library on the first floor and two conservatories, which overlook the extensive rear gardens. The homes gardens are all wheelchair accessible. On the top floor there is a large day room, known as The Bridge, which provides impressive views over the river. There is dedicated parking to the side of the home for visitors. The home employs registered nurses and care staff working a roster, which provides 24-hour cover. A full time activities co-ordinator and ancillary staff for administration, catering, domestic duties, garden and property maintenance support them. As from the 12 May 2010 fees range from £450 to £500 for residential care and from £685 to £744 for nursing care. Charges are made according to assessed personal need. Please contact the manager for more information. Care Homes for Older People Page 3 of 8 What we found:
At the last key inspection visit on 30 May 2007, the quality rating for this service was judged as 3* excellent. This means that the people who use this service experience good quality outcomes. This report contains the findings of the homes random inspection and takes account of information obtained from various sources. The random inspection visit was unannounced and took place on 12 May 2010 between 10:00 and 14:00 when a number of records were seen and observations were made of the practices in the home. We spoke with people who use the service, relatives visiting the home, the registered manager and staff working at the time of the visit. To ascertain if the home continued to meet peoples assessed needs and were providing good outcomes for the people living at the home. The registered manager said that she has been in post for two years in September, and that she has worked at the home since 1997. People said that the registered manager and staff team are approachable and the home has an open door policy. The visit focused mainly on the daily life and social activities standards, although observations were made in relation to staff interactions with people who use the service, and areas of the environment were seen. The Annual Quality Assurance Assessment (AQAA) documentation provided up to date comprehensive information about the service, together with information about improvements made in the last twelve months for example the home held its first garden party; redecoration of the bridge and purchase of new furniture; training sessions for documentation, care planning and risk assessment for new staff; maintained full levels of permanent staff and rentention of a healthy flexi bank. The findings of this inspection were discussed with the registered manager and overall indicates that this home continues to provide sustained good quality outcomes provision for the residents in line with CQC ratings, enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. What the care home does well:
The home demonstrated the provision of good care practices and a firm commitment to meeting the needs of people living in the home together with the promotion of their independence and dignity. One resident said that nothing is to much trouble. The home has shown considerable investment and a high level of commitment to providing staff with sufficient skills and knowledge to ensure that residents are well cared for. Training continues to be ongoing. The service provides a very comfortable and homely environment internally with extensive and attractive outside areas that stimulate and meet peoples needs. The property continues to be well maintained and is nicely decorated. People said that the garden areas are attractive and they like to sit in the garden weather permitting. Bedrooms were seen to be personalised, decorated and furnished to a good standard.
Care Homes for Older People Page 4 of 8 Activities remain a high priority within the home and a full time activities co-ordinator is employed. Activities are aimed at promoting and meeting the specific interests of those people living in the home. The activities person was able to provide records of activities undertaken, and the forthcoming planned monthly activities was seen displayed on noticeboards. Residents said there was a wide range of activities offered. The involvement of the residents and their relatives or representatives is actively encouraged in all matters relating to the running of the home which ensures the service is provided and developed with residents best interests to the fore. The home has a sustained track record of high performance. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. This service is consistently providing good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
