We carried out a review of the data available to us about Perry Tree Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Perry Tree Centre, you can give feedback on this service.
We found the following examples of good practice.
Staff wore Personal Protective Equipment (PPE) in line with current Government guidance and the registered manager had established PPE stations at key points throughout the home.
Staff supported people to make phone and video calls to maintain contact with family and friends between visits and when people were isolating after testing positive for COVID-19.
Communal areas were spacious, which meant people could enjoy each other’s company, whilst maintaining a safe social distance.
Cleaning schedules were in place and a team of full-time cleaners were employed to monitor cleanliness.
About the service
Perry Tree Centre is located within a purpose-built building that supports several health and social care services. These include an enablement unit that supports people discharged from hospital and prepares them for returning to their own homes. The building also provides community services and a restaurant, utilised by the local population. This inspection relates to the residential unit that is registered with us to provide personal and residential care to 32 people living with conditions relating to dementia, physical disability and old age. At the time of the inspection 32 people were living at the service.
People’s experience of using this service and what we found
Quality assurance systems and processes enabled the management team to identify areas for improvement. However, there was some improvement required to auditing medicines.
The registered manager shared a clear vision and strong values. They led by example and were passionately committed to providing good quality individualised care and support. They demonstrated a strong commitment to continuous improvement and took great pride from the service’s achievements. Everyone was very positive about the registered manager and their approach to providing holistic support to people who used the service and staff who worked at the home.
People were supported by staff that kept them safe from harm or abuse. People received medicines on time and were supported by staff that had been safely recruited. Staff had a good knowledge of risks associated with providing people's care including infection control. Staff had received adequate training to meet people's individual care needs.
People were supported by kind and caring staff. Staff were respectful, open to people of all faiths and beliefs and people’s diversity was respected and embraced. Staff encouraged people’s independence, protected their privacy and treated them with dignity. People were supported by staff that knew their preferences and we could see staff enjoyed their work and had built positive relationships with people. The management team were passionate about providing person centred care.
People were supported by staff that had a clear understanding of the importance of providing people with the opportunity to develop and maintain friendships and relationships. They had a person-centred approach to finding activities that were not just fun, but also helped people to develop confidence and friendships.
There was a complaints procedure in place and people and relatives told us their concerns were dealt with positively. The service was flexible and responsive, providing person-centred care that met people's individual needs and preferences. People's end of life preferences and wishes had been considered.
People and their relatives were involved in providing feedback on service provision. People, their relatives and staff were satisfied with the way the service was managed and the provider worked well with partner organisations to ensure people’s needs were met. The registered manager had a good oversight of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (17 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Perry Tree Care Centre is located in a building where several services are based. These included an enablement unit, day services, community services and a restaurant. This inspection relates to the residential unit only where up to 32 people live with conditions relating to old age, physical disability and dementia. At the time of our inspection there were 30 people living in the residential unit.
There was a registered manager in post at the time of our inspection. 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.
People were kept safe. Staff had received training and understood the different types of abuse and knew what actions to take if they thought a person was at risk of harm. Staff were able to recognise the signs of abuse and raise concerns if needed. Staff were provided with sufficient guidance on how to support people’s medical care and support needs. People’s medicines were managed and administered safely and as prescribed.
People were supported by sufficient numbers of enough staff that had been safely recruited. People and relatives felt that staff demonstrated the appropriate skills and knowledge to provide good care and support. Staff were trained and supported so that they had the knowledge and skills they required to enable them to care for people in a way that met their individual needs and preferences.
People were encouraged to make choices and were involved in the care and support they received. Staff had an awareness of the Mental Capacity Act and Deprivation of Liberty Safeguarding (DoLS) and how to support people within their best interests. Staff were respectful of people’s diverse needs and the importance of promoting equality.
Staff were caring and treated people with dignity and respect. People’s independence was respected and promoted. Staff responded to people’s support needs in a timely manner. People and their relatives felt they could speak with the provider about their worries or concerns and were confident that they would be listened to and have their concerns addressed.
Staff spoke positively about the service provided and the supportive culture they had established at the home. The registered manager had quality assurance and audit systems in place to monitor the care and support people received. This ensured where improvements were identified action could be taken so people continued to receive a good service. During our inspection we shared with the provider the areas of improvements we had identified in the systems that could further improve the service and minimise the potential risks to people.
We spoke with five members of care staff, the acting head chef and the registered manager. We also sampled four sets of care records.
Care was planned and delivered to ensure people's safety and welfare. One person told us, "I am very happy with the care, I get help when I need and also get on with my own things when I want to". This meant that people experienced care and support that met their needs and protected their rights.
People's nutritional needs were assessed and monitored. People were provided with a choice of suitable food and drink to meet their nutritional needs. One person told us, "The food is very good and I can have a hot drink whenever I want".
Safeguarding procedures were in place so that staff would recognise and report any allegations of abuse so that people were protected from the risk of harm.
People were cared for by staff who were supported, supervised and trained to deliver care to an appropriate standard. One person told us, "Staff are lovely, they look after me".
Records contained relevant information about people's health and wellbeing so that people were not at risk of inappropriate or unsafe care.
We spoke with four members of care staff, the head chef and the registered manager. We also sampled four sets of care records.
There were four units within the home that were based on specific themes such as 'Hollywood Close' and 'Garden View'. Each unit had a lounge area, staff explained people had a choice and were able to sit where they pleased.
People were happy with the standard of care and people had a choice of activities available to them. We saw some evidence of good practice such as individual risk assessments and use of observation chart, however there were inconsistencies in assessments and care planning.
People we spoke with told us they enjoyed their meals and were offered a choice. We
saw during lunchtime people were given their chosen meal. Staff we spoke with were aware of people's nutritional needs. We saw evidence of nutritional needs monitoring but assessments were inconsistent and not regularly reviewed.
Staff we spoke with told us they were aware of the need to safeguard people from harm and were able to explain their role in protecting vulnerable people.
Staff we spoke with said they had appropriate training and skills to meet the needs of people. Staff demonstrated knowledge and awareness in areas relevant to the people they cared for. We saw evidence on the training matrix that there were still gaps in training.
Systems were in place to deal with comments and complaints.
'Lovely place'
'No complaints at all.'
'Love it wonderful place.'
The care workers were able to tell us about the needs of the people living in the home and how they liked to be cared for. This should ensure people received their care in the way they prefer.
People told us the food at the home was 'good' and that they were given choices at each meal. We saw that medical and cultural diets were being catered for.
People told us they were satisfied that their relatives and themselves were treated with respect by the staff. Visitors told us they were encouraged to be involved in the care of their relatives if they wished.
People were satisfied that they had been able to visit the home before they moved in to see what facilities it offered. One person told us they visited the home with their relative, helped choose a bedroom and were then able to set up the room to their relatives liking with personal possessions and so on.
Overall the people living in the home and the relatives we spoke with were satisfied with the care provided at the home. They told us:
'Overall they do very well'
'Love it here'
'Quite alright.'
'Get everything I need.'
'I have seen the doctor today got some medicine.'
People told us that health care professionals regularly visit the home, for example the doctor.
People that were able to express their views were satisfied that there were some activities in the home. They told us:
'Don't get bored have T.V. and radio go into the lounge sometimes.'
'I read and do some knitting. Have a lot of visitors.'
'We go out once a week to the legion.'
'Been out today with a relative.'
One visitor told us her relative really enjoyed music and 'staff will put on CDs if I ask them to.'
Another said 'there is usually some activity going on, even if not all the residents want to join in.'
People told us they were offered choices at meal times and that they could choose where they ate their meals. They said:
'Quite alright do get a choice.'
'Food alright, I like Weetabix in the morning, don't bother much after that.'
'Food marvellous come round with menu really lovely.'
'The food seems very good.'
We saw that people were comfortable and that they could spend time privately in their bedrooms if they wished. People told us:
'I have a lovely big room.'
'Everything is beautiful.'
'Alright here if you use everything.'
We received some very positive comments about the care workers including:
'Friendly staff.'
'Staff are o.k.'
'Some staff are o.k.'
'They do come if I use buzzer.'
Visitors told us:
'The staff are very caring here.'
'Staff are very approachable'
People told us they had no difficulties in approaching the senior staff if they wanted to raise any issues. They were confident they would address any issues.