The Care Quality Commission (CQC) visited Pembroke Lodge from April 10 to April 23 for the assessment after being prompted by emerging risk.
This came after the previous assessment where the care home also scored ‘requires improvement’ for their care.
Pembroke Lodge , located on Alexandra Road, providing accommodation and personal care to older people, some of whom were living with dementia
They were also inspected on whether the care home was ‘safe’, ‘effective’, ‘caring’, ‘responsive’ and ‘well-led’.
Although they were rated ‘requires improvement’ overall, they received a ‘good’ score for being caring and responsive.
Soon after entering Pembroke Lodge, it soon became clear that they did not have a registered manager in place.
In a report created after the visit, inspector from the CQC noted that there were continued breaches of legal regulations in relation to safe care and treatment and good governance and new breaches of legal regulations relating to person centred care, consent, staffing and premises and equipment and notifications.
They discovered that there were ‘shortfalls’ that ‘did not demonstrate people were receiving a safe service at all times’.
The report said: “People were not consistently receiving person-centred care that met their needs and kept them safe from avoidable harm. Care records and risk assessments were contradictory and not up to date to ensure staff received guidance to keep people safe and meet their needs.
“People were not always receiving the support they required to reduce their assessed risks such as pressure damage and falls.”
According to inspectors, the care home was not well maintained for residents, saying it looked ‘tired and dated’.
During the visit we spoke with 3 residents about their experience of living at Pembroke Lodge and observed interactions between staff and people living at the service throughout the day.
They also spoke to relatives of people using the service.
One relative said: “At the present moment they haven’t got the staff, certainly to enable them to converse and stimulate the residents. They [management] got rid of so many staff a year ago. Most of those were very good too”
Another said: “They genuinely haven’t got enough time. They used to be able to stop and chat with me for five minutes, but they can’t now. That is disappointing.”
People and their relatives had not always been involved in planning and reviewing their care.
A relative commented, “I am aware that [person] has a care plan. However, I have not seen anything in writing.
“I have not been invited to view or review [person’s] care plan.”