Purley Gardens Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this re-registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 did not ensure people’s care and support needs were always accurate and consistently reflected in their care plan,

Managers described a clear and structured referral and assessment process. Staff involved people and families early in the process and arranged visits before admission. These initial assessments were then used to develop individualised packages of care for people.

However, while most people had care plans in place outlining how they wished to be cared for and supported by staff, we found some peoples care plans incorrectly stated they received personal care when this was not the case. This meant there was a risk staff might not know how to meet and respect these people’s wishes and preferences as the information contained in their care plan was not always accurate.

We discussed this recording issue with the managers at the time of our assessment who apologised for the oversight. Immediate action was taken by the provider to review and update these care plans, so they reflect peoples actual support needs and wishes by end of our site visits to the care home.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People received personal care and support from staff according to their individually assessed needs and wishes. Relatives told us staff delivered care that meet their family members needs and wishes and in line with reconsider best care practice. One relative remarked, “Staff know [name of family member] well and how to meet their dementia and pressure area care needs. The staff come across as competent and caring.” Another added, “If people living here become distressed, staff are always quick to stop what they are doing and reassure/support them.”

Staff told us they followed guidance in care plans when supporting people. This included providing the appropriate level of support in line with guidance in relation to individual needs, including nutrition, moving, and handling. Care plans were comprehensive and detailed covering people’s individual needs and were reviewed and updated regularly. Staff were supported through training and supervision to deliver care and support people in line with legislation, good practice and standards. Managers also conducted regular monitoring checks on staff’s working practices. The provider did not always make sure people’s care was effective by providing care based on best practice and guidance. Staff worked with community healthcare professionals and followed the advice and guidance provided.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Systems were in place to ensure information was shared in a timely manner by everyone involved in people’s care. Regular information sharing meetings and handovers took place between leaders and staff, and staff escalated concerns promptly to nurses or managers. Clinical leads maintained close links with GPs, pharmacists and community services.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to access healthcare services when needed, including GP reviews, hospital appointments and specialist input. A relative told us, “The staff work well with the GP who visits the home every week. Staff do not hessite to call the GP out of hours of they need to.” Staff supported people to regain strength after hospital admission and improved hydration and nutrition following admission.

Activities and social engagement supported emotional wellbeing. Staff encouraged participation in activities, reminiscence and maintaining interests, and families were involved where possible. People and relatives reported positive health outcomes.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People experienced positive outcomes from the care and support they received from staff. People’s care and support was regularly reviewed to ensure this was meeting their assessed needs and expected outcomes. Systems were in place to monitor the care and support provided to people to ensure this remained effective. A relative told us, “The staff regularly review my [family members] care plan and update it when required.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The service was working within the principles of the Mental Capacity Act 2005 (MCA). People were supported to understand the care and support staff provided them. This enabled people to consent to this if they wished. Managers and staff understood people’s capacity to make decisions about their care and support using people’s preferred method of communication. A relative told us, “They [staff] always ask my family members] persimmon before doing any of their personal care. “A staff member told us they always gained people’s consent where the person needed support with any personal care.