Annual service review
Name of Service: Pembroke Lodge The quality rating for this care home is: The rating was made on: two star good service 1 3 0 2 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Stephen Webb Date of this annual service review: 0 8 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 32 Alexandra Road Reading Berkshire RG1 5PF 01189414200 Telephone number: Fax number: Email address: Provider web address:
enquiries@pembrokelodge.net www.pembrokelodge.net Mr Charles D`Cruz Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 20 The maximum number of service users to be accommodated is 20 The registered person may provide the following category of service only: Care home only (PC) 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) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Pembroke Lodge provides support and personal care for up to 20 elderly residents, within an adapted three storey detached house. The home has three double beedrooms though these are now usually used as singles. There is a passenger lift between all floors, and adapted bathing facilities are available. The Service is in a residential area that is quite close to Reading town centre. There are shops and public transport services quite near by.
Annual Service Review Page 2 of 6 1 3 0 2 2 0 0 9 Information about the current fees can be obtained by telephoning the manager. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at the information that we have received, or asked for, since the last key inspection in February 2009. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us numerical information about the service. Any surveys returned to us by service users and others with an interest in the service. Any information we have received about how the service has managed any complaints. What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. The previous key inspection and any action taken in response to requirements or recommendations made within the previous inspection report. What has this told us about the service? The annual quality assurance assessment (AQAA), was returned late by the manager, but provided current details about the home including areas where action has been taken to make improvements. The manager reported that since the last inspection a range of improvements had been made in direct response to resident feedback. For example the installation of air conditioning in the kitchen and lounge; implementation of a three week written menu incorporating service user preferences and an increased activities programme. New lounge tables have also been purchased and hospital beds have been accessed where needed. Other changes reported since the last inspection include improvements to recording, greater involvement of residents in reviewing their care plan, revision of risk assessments, and improved involvement of external professionals. The Skills for Care induction system has been introduced and training has been provided to staff on the needs of residents with diabetes. All staff have either attained or are working towards their NVQ at level 2 or 3. Senior staff have received supervision training. Additional equipment has been purchased for the home, and the home has retained its four star environmental health hygiene award. The home now has a large screen TV and broadband is now available to residents. The AQAA also indicates a range of planned improvements for the future. There were no requirements arising from the last inspection. Since the last inspection, no notifications have been made to the Commission, regarding reportable events. Annual Service Review Page 4 of 6 The completed AQAA indicated that no new complaints had been received about the service in the last twelve months. No complaints about this home have been received by the Commission, for forwarding to the service, since the last inspection. There are reported to have been no safeguarding referrals relating directly to this home since the last inspection. The AQAA indicates a responsive service, which consults residents as part of personcentred planning, as well as through residents meetings and questionnaires. Residents family are also invited to the residents meetings. Our judgement is that the home continues to provide a good service to meet the needs of residents, and provides good outcomes for residents. What are we going to do as a result of this annual service review? We will not change our inspection plan, and will undertake the next key inspection by the 13th of February 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of residents Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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