Purley View Nursing Home

Updated 30 October 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service

Service and service type

Purley View Nursing Home is a ‘care 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced and took place on 29 August 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with nine people who used the service, four relatives and two visitors about their experience of the care provided. We spoke with six members of staff including the deputy manager, a nurse, the activities coordinator, the administrator, two care workers and a housekeeping member of staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and multiple medicine records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 30 October 2019

About the service

Purley View Nursing Home is a residential care home registered to provide personal and nursing care, support and accommodation for up to 39 people in one adapted building over three floors. At the time of our inspection the care home accommodated 33 people, many of whom had dementia.

People’s experience of using this service

There were infection control measures in place and staff understood infection prevention. Some equipment at the service was worn and needed to be replaced, the service has renewed some equipment since our inspection. Staff understood how to identify abuse and knew what to do should they need to report it. Risks to people were recorded. There were robust recruitment processes in place and enough staff working to keep people safe. Medicines were managed safely. Lessons were learned when things went wrong.

Some of the windows at the service were in need of repair, the provider had plans to replace them. People told us staff were experienced and knew how to do their jobs. Staff received training and supervision, although at the time of the inspection this training had not always been recorded correctly due to technical problems. People were supported to have maximum choice and control in their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were supported with their healthcare needs and the service worked with other agencies to the benefit of people. People’s needs were assessed. People enjoyed the food they were provided and were supported to eat and drink healthily.

People and their relatives told us they were treated well. Staff understood equality and diversity. People could express their views and be involved with choices around their care and treatment. People told us their privacy and dignity were respected and their independence promoted.

There were mixed views on the activities the service provided, however the service was able to demonstrate ample opportunities for people. People’s needs were recorded in their care plans and staff understood these needs. The service made information accessible to people with communication needs. People were able to make complaints and when doing so these were responded to appropriately by the service. The service was working with the local authority to make improvements to how they provided end of life care.

People told us they thought highly of the management team. The registered manager was responsive and wanted to improve the service to the benefit of people who lived there. People held meetings and were engaged with the service. People and relatives were able to complete surveys to assist with improving the service. The service completed audits to monitor the safety and care of people using the service.

Rating at last inspection

At the last inspection the service was rated Good (report published on 16 February 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.