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Inspection Summary


Overall summary & rating

Good

Updated 28 November 2018

This was an unannounced inspection which took place on 04 October 2018.

Purley House is a care home (without nursing) which is registered to provide a service for up to three young adults who are being supported to leave care. The young people had a variety of support needs.

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

Purley House accommodates people in a domestic sized building.

The care home was registered in October 2017 and this is the first inspection of the service.

The service was exceptionally responsive to the needs and choices of the young adults who live there. Staff were extremely flexible and readily adapted to meet people's development and diverse needs. The service was extraordinarily person centred and young adults were supported according to their individual needs. Activity programmes were innovative and designed to meet people's individual development needs whilst incorporating their preferences and choices. Care planning was highly individualised and regularly reviewed which ensured the current needs of the young adults were met and their equality and diversity was supported and respected.

The registered manager was respected and highly thought of by the staff team. She and the management team ensured the service was exceptionally well-led. The registered manager and the staff team were committed to ensuring they offered the young adults positive support and assisted them to independence. The young adults were as involved as possible in running the service and were supported to adhere to the values the staff team were committed to. The quality of support the service provided was constantly assessed, reviewed and improved by the provider, the registered manager, the staff team and the young adults.

The young adults were protected from all forms of abuse. Staff were trained in safeguarding people and knew what action to take if they identified any concerns. The young adults were provided opportunities to learn how to keep themselves safe. The service identified general health and safety and individual risks. Action was taken to reduce all risk, as much as possible. All aspects of safety were considered and actions were taken to assist people to remain as safe as possible.

The young adults were supported by adequate staffing numbers. Staff were able to meet people’s specific needs, including any diversity, safely. Recruitment systems made sure, that as far as possible, staff recruited were safe and suitable to work with young adults. People were supported to take their medicines, at the right times and in the right amounts by trained and competent staff.

A well-trained and knowledgeable staff team offered young adults effective care. They met people’s diverse needs including their current and changing health and emotional well-being. The service worked very closely with health and other professionals to ensure they offered individuals the best care in the most effective and positive way.

The young adults were empowered to make choices and decisions and take control of their lives. Staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The caring and committed staff team continued to meet the young adults needs with kindness and respect. They ensured they promoted people’s privacy and dignity and communicated with them effectively.

Inspection areas

Safe

Good

Updated 28 November 2018

The service was safe.

The young adults were kept as safe as possible from abuse or ill-treatment of any kind. They were supported to keep themselves safe.

The young adults were protected by risk assessments which staff followed to make sure people stayed as safe as possible whilst living as independently as they could.

The young adults were supported to take their medicines safely.

There were enough staff who had been recruited as safely as possible to offer the young adults safe care.

Effective

Good

Updated 28 November 2018

The service was effective.

The young adults were supported ad positively encouraged to make as many decisions for themselves, as possible. The service worked in people�s best interests and the principles of the Mental Capacity Act 2005 were upheld.

The young adults were supported to keep themselves as healthy as possible.

The young adults were assisted well supported staff who were trained in how to offer the best support.

Caring

Good

Updated 28 November 2018

The service was caring.

The staff team supported the young adults with kindness and respect.

The young adults needs and behaviours were dealt with in a sensitive and patient when manner.

The young adults and staff team had developed close and caring positive relationships.

Responsive

Good

Updated 28 November 2018

The service was Good.

The service was exceptionally responsive to people's needs, choices and preferences.

The service was person- centred and put the young adults at forefront of all they do.

The staff worked extremely hard to support the young adults to gain their independence.

Well-led

Good

Updated 28 November 2018

The service was Good.

The registered manager was totally committed to providing the best opportunities for the young adults to develop and mature into independence.

Staff and the young adults were involved in all aspects of the running of the service and were valued and respected.

Staff and the young adults adhered to the values and vision of the service during their daily work and life.

The service was committed to reviewing and monitoring the service so they could take any necessary actions to improve the young adult�s lifestyle and development prospects.