# Pembroke Care (Reading) Domiciliary Services

*Operated by Pembroke Care (Reading) Limited.*

Pembroke Care (Reading) Domiciliary Services is a CQC-regulated home-care agency in Reading.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 28/06/2023

## Practical info

- Postcode: RG1 5PF
- Local authority: Reading
- Region: South East
- City: Reading
- Last CQC check: 28/Jun/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-09-08
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-09-08
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-09-08
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-09-08
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-09-08

### Other

- Finding
  - Evidence: Provider understood duty of candour responsibilities.
  - Published: 2023-09-08
- Finding
  - Evidence: Staff received regular supervision and felt supported by an approachable senior team.
  - Published: 2023-09-08
- Finding
  - Evidence: Staff demonstrated detailed knowledge of the Mental Capacity Act.
  - Published: 2023-09-08
- Finding
  - Evidence: People were supported to maintain a healthy diet and fluid intake.
  - Published: 2023-09-08
- Finding
  - Evidence: Staff worked collaboratively with external health and social care professionals.
  - Published: 2023-09-08
- Finding
  - Evidence: Care plans were personalised, regularly reviewed and included evidence-based assessment tools.
  - Published: 2023-09-08
- Finding
  - Evidence: People were protected from infection risk with trained staff and adequate PPE.
  - Published: 2023-09-08
- Finding
  - Evidence: Robust recruitment process including DBS checks, references and employment history verification.
  - Published: 2023-09-08
- Finding
  - Evidence: Sufficient staffing levels providing continuity of care from familiar staff.
  - Published: 2023-09-08
- Finding
  - Evidence: People were protected from the risk of abuse and staff could clearly describe signs of abuse and reporting procedures.
  - Published: 2023-09-08
- **person_centred_care** _(minor)_
  - Evidence: The provider had not sought any feedback from people about their views on the quality and suitability of care and support delivered.
  - Published: 2023-09-08
- **record_keeping** _(moderate)_
  - Evidence: The management team completed staff medicines competency assessments to identify areas for improvement. However, they told us they had not kept records of the assessments.
  - Published: 2023-09-08
- **consent_capacity** _(moderate)_
  - Evidence: There was a lack of evidence to show the provider had recorded people's consent to receiving care and support. None of the care plans we reviewed contained consent forms signed by people.
  - Published: 2023-09-08
- **safeguarding** _(critical)_
  - Evidence: Following an incident of abuse the provider had failed to conduct a sufficiently robust investigation to prevent a recurrence and safeguard people from harm.
  - Published: 2023-09-08
- **incident_learning** _(moderate)_
  - Evidence: There was a lack of evidence to demonstrate the provider analysed accidents and incidents to identify trends and themes to prevent recurrences.
  - Published: 2023-09-08

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-09-08
- Finding
  - Preventing and controlling infection
  - Published: 2023-09-08
- Finding
  - Staffing and recruitment
  - Published: 2023-09-08
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-09-08
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-09-08
- Finding
  - Using medicines safely
  - Published: 2023-09-08

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-09-08
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-09-08
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-09-08
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-09-08

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2417054881

HomeCare Compass is an independent guide and is not affiliated with the CQC.