Archived: Purbeck House Care Home

We found the following examples of good practice.

Visitors were welcomed to the service, the positive impact to people's well-being was recognised. Family members and friends could stay in touch with people with phone and video messaging. Visits were facilitated in line with government guidance.

The care home was clean and hygienic. Frequently touched areas, such as door handles, handrails and computer equipment received enhanced cleaning. Staff had access to the required cleaning products and equipment to maintain a safe environment.

Audits were carried out to ensure staff were following government guidance about the management of infection control during the COVID 19 pandemic.

The provider ensured that staff received appropriate training and support to help prevent the spread of infection. All staff had received regular training on infection control and the use of personal protective equipment.

Purbeck house care home is registered to provide accommodation and personal care services for up to 15 older people and people who may be living with dementia. At the time of our inspection there were 12 people living at the home.

Experience of using this service:

People felt safe from harm and abuse, people’s safety had been considered and risks were managed by staff who knew people well.

Staff had received training in relation to safeguarding and knew how to protect people from harm.

People felt they were listened to and cared for by staff who had training to support them.

Improvements had been made to infection control procedures since our last inspection.

Care plans had been updated to reflect the care needs of people living at the home.

Risk assessments had been completed for identified risks associated with people’s needs and the environment.

The registered manager had notified CQC of incidents that occurred in the home.

Guidance was in place for staff to follow where people were prescribed medicines on an `as required` basis.

There were sufficient staff on duty to meet people needs.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.

Information was displayed in the communal areas of the home that gave a structure to people day for example planned activities.

The home had improved on the range of meaningful activities provided to people. Complaints were managed in line with the providers policy.

People had confidence in the manager to respond to complaints and take the necessary action, the homes complaints policy was displayed in the front entrance.

Quality systems were being used to monitor the quality of care in the home.

Improvements had been made to the environment and furnishings of the home.

The registered manager was open and honest, and worked in partnership with outside agencies to improve people’s support when required; the service met the characteristics of Good in all areas.

More information is in the full report

Rating at last inspection:

At our last inspection, we rated the service Requires Improvement (report published 30th April 2018)

At this inspection, we found the evidence to support the rating of good overall.

Why we inspected:

This was a planned comprehensive inspection based on previous rating.

At the last inspection the home was in breach of Regulation 12 Safe care and treatment. The provider was required to send us an action plan telling us the action they would take to address this concern. We followed up on this during this inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Purbeck House is registered to provide accommodation for 15 older people requiring personal care who may have a learning disability or associated mental health conditions and or be living with dementia. This service does not provide nursing care at the time of the inspection there were 14 people living at the home.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We were not assured effective infection control measures were in place. Areas of the home did not appear clean and were in need of deep cleaning. Equipment such as commodes, toilet frames and seats; had not always been maintained to an appropriate standard to ensure peoples safety.

The home had not taken appropriate steps to ensure that effective processes to access, monitor, and mitigate risk relating to health, safety and welfare of service users. Care plans lacked clear information for staff on how to mitigate the risks associated with people’s behaviours.

The service had not notified the care quality commission (CQC) in relation to one safeguarding event which the home had reported to the local authority safeguarding team which meant they had not fulfilled their legal obligation in relation to this matter.

People received their medicines in a safe and effective way from staff that had been trained to administer these. However, there was a lack of guidance where people had been prescribed medicines to be given “when required” (PRN).

There were sufficient numbers of staff on duty to meet people’s needs. Staff worked closely with health and social care professionals to ensure people received effective care in line with their needs.

People’s mental capacity had been assessed where this was appropriate. Staff had training in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People’s privacy and confidentiality was mostly respected. Staff knew all people well; they were friendly and helpful. Staff involved people and their families in their care planning as much as possible.

Complaints were managed in line with the provider’s policy. The homes complaints policy was displayed.

We found one breach of the Health and Social Care Act 2008(Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Most of the people who lived at the home had dementia and we found that each person's ability to make everyday decisions had been assessed. If a person was unable to give their consent their nearest relative was consulted about decisions affecting their care. This ensured the provider acted in accordance with the person's wishes.

We used the Short Observational Framework for Inspection (SOFI) in the lounge area to help us understand the experience of people who could not talk to us. There was substantial interaction or engagement with various activities including reading newspaper, singing of songs and painting of nails. Most people responded positively although one person became a little agitated. We found members of staff were aware of the person's needs and responded appropriately.

We found that people were well cared for and there were sufficient numbers of skilled and experienced staff to meet their needs. The home had an effective system in place to regularly assess and monitor the quality of service that people received.

People told us that members of staff were polite, kind and helpful. They told us that their privacy and dignity was respected. We found care records indicated people were involved with their care. They told us they were supported to make decisions regarding their care needs and wishes.

People received the care and support they required to improve their health and well-being. They told us that members of staff knew what their needs were and took care of them 'as if they were a family.'

People living at the home told us they felt safe. Members of staff explained to us their role in reporting any concerns.

People living at the home told us that there were enough staff to ensure people were cared for properly and receive the support they required.