CQC report explained · a residential care home
What the CQC found at Pembroke Road Unit - Erith
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing infections, using protective equipment safely, arranging testing and admitting people safely.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, March 2021
Peace Manor Residential Care Ltd - Pembroke Road Unit - Erith was inspected but not rated; inspectors were assured about infection prevention and control.
The inspection took place on 24 February 2021. It was announced and targeted. Inspectors looked at infection prevention and control because of the COVID-19 outbreak response.
The home supported seven people with mental health needs and could care for up to eight people. Inspectors found safe arrangements for visitors, testing, new admissions, social distancing and shielding.
The home had enough personal protective equipment. Staff had infection control training and were observed using protective equipment correctly. The home had policies, risk assessments and audits for infection control.
Safe visiting
Visits were limited, booked in advance and held in a designated area that was disinfected after each use. Visitors were screened for respiratory infections.
“People were supported to receive visitors safely. Visits were limited to one visitor per person and visits had to be pre-booked.” from the report
Protective equipment
The home had enough masks, gloves, aprons and face shields. Staff had training and were observed using protective equipment properly.
“Staff had completed infection prevention and control training which included COVID-19 safety and the use of PPE.” from the report
Safe admissions
New people needed a negative COVID-19 test before moving in and were isolated for their first 14 days.
“New admissions needed a negative COVID-19 test result before they moved in.” from the report
Testing and vaccination
The home took part in the COVID-19 testing scheme. People and some staff had received their first vaccine dose.
“The service took part in the COVID-19 testing scheme in line with current national guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently arranged and how is the visiting area cleaned between visits?
- 02How do you check that staff have the protective equipment and infection control training they need?
- 03What testing arrangements are in place for people using the home and for staff?
- 04How would my relative be admitted safely if they moved into the home?
- 05What arrangements are in place to manage an infection outbreak?
This was a targeted inspection of infection prevention and control, so the other four questions and an overall rating were not assessed. This explanation was written from the published report of 24 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2018
Peace Manor Residential Care Ltd - Pembroke Road Unit - Erith was rated Good; inspectors found safe, kind and personalised care.
This was an unannounced planned inspection. One inspector spoke with two people, one relative and four staff members. They reviewed care plans, risk assessments, medicine records, staff files and management records.
The home supported five people with mental health needs. Inspectors found that people were safe, received effective support and were treated with kindness, dignity and respect. Care was personalised and supported people's recovery, independence and choices.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had improved its medicines systems since the last inspection, and its overall Good rating remained unchanged from the previous inspection in 2016.
Medicines were better managed
Inspectors found that medicines were safely obtained, stored and given. Records were accurate, stock matched the records and staff had completed medicines training and competency checks.
“All staff who supported people to take their medicine had completed medicines training and their competency had been checked.” from the report
Kind and respectful care
People said staff were nice, friendly and supportive. Inspectors saw that staff respected people's preferred names, privacy, dignity and choices.
“People were supported by staff that were kind and compassionate towards them.” from the report
Well-trained staff
Staff had completed induction, mandatory training and other training relevant to the people they supported. They also received supervision and appraisals.
“All staff had completed a comprehensive induction programme, mandatory training and other training relevant to the needs of people.” from the report
Quality was monitored
The provider used audits, meetings and surveys to check the service and gather feedback. Inspectors found a positive team culture and partnership working with other organisations.
“The provider had an effective system of assessing and monitoring the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01Has the application to change the home's registration from five to nine places been completed?
- 02How will staffing levels and support arrangements change if people move into the new accommodation?
- 03How will you check that medicines remain safely managed as the home expands?
- 04How will the person living here be involved in decisions about their care, activities and independence?
- 05How can residents and relatives give feedback or make a complaint, and how will you show what changed as a result?
This was an unannounced planned inspection covering the home, the care provided and all five CQC questions; five people were living there and the new facilities were not yet in use. This explanation was written from the published report of 20 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Pembroke Road Unit - Erith
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- May 2013
Registered with the Care Quality Commission on 1 May 2013.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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