Purley Gardens Care Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs. This is the first assessment for this re-registered service. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

People and their relatives told us staff treated them as individuals, and they received consistently good, person-centred care and support from staff who were familiar with their needs, preferences and daily routines. Care records contained personalised information about people’s unique strengths, likes and dislikes, and how they preferred staff to meet their care needs and wishes.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People’s health and care needs were well understood by staff. We observed staff supporting people at their own pace during mealtimes, providing reassurance and adapting support where needed. Records and feedback showed people had access to healthcare professionals, including GPs and specialist services. Staff worked with these professionals to manage risks, nutrition and long‑term conditions.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

The provider ensured people received clear, accessible and timely information to support their involvement in care and decision making. People and relatives told us staff explained things in a way they could understand and communication with staff was mostly positive. The provider had an Accessible Information Standard policy in place. People’s communication needs were assessed.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

People told us staff were approachable and felt they listened to what they had to say. One person said, “I do feel involved in making decisions about the care and support I receive here. Sometimes I don’t need as much support and the staff are good at respecting my wishes.” Similarly, most relatives said they had confidence in staff and the care homes new management to listen to their views and take them seriously. A relative remarked, “I feel I can be honest and I am confident the managers and staff listen and act on what we have to say.” Managers and staff used a range of methods to encourage people to have their say and state their views about the care they received at the home. This included regular individual meetings with their designated keyworker, care plan reviews, group meetings with their fellow peers, and satisfaction surveys.

The provider made sure that people could access the care and support they needed when they needed it.

The provider made sure people had access to the care and support they needed and wanted. Adjustments were made to promote inclusion, safety and choice. People had sufficient opportunities to engage in meaningful leisure and recreational activities that reflected their social interests. A relative told us, “Our relative is given every opportunity to participate in events at the home which they really enjoy.” Another added, “The home has an excellent activities team. My [family member] needs the stimulation and they are fully engaged with all kinds of social activities including, quizzes, word games, bingo, mother and toddler groups and gentle exercise classes. It’s lovely to see residents enjoying so many different activities.”

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care and support in response to this.

Peoples care plans did not contain enough detailed information about people’s spiritual, cultural needs, as well as their sexuality. We discussed this issue with senior managers at the time of our assessment who took immediate steps to start the process of resolving this issue.

Staff undertook equality and diversity training and knew how to protect people from discriminatory behaviours and practices. Staff took account of individual needs including, respecting people’s identity and personal routines, to ensure people had equity in experiences and outcomes. This included supporting people in line with their protected characteristics as defined by the Equality Act 2010.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

People nearing the end of their life were supported to have a comfortable and dignified death. People’s wish for their end-of-life care were discussed and recorded in their advanced end of life care plan. Records showed families were involved in discussions about end-of-life care where appropriate. Relatives confirmed that conversations about future care had started or were ongoing. A relative told us, “There were a lot of conversations with my [family member] around what they wanted at the end of their life.” This ensured staff were aware of people’s wishes and that people would have dignity, comfort, and respect at the end of their life. We observed the provider had a designed space to remember the lives of people who had passed away who had lived in the care home.

The provider maintained close links with a local GP surgery and hospice to ensure people who had died at the home had experienced dignified and comfortable end of life care. Staff had received end of life care training.