Background to this inspection
Updated
3 August 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector carried out the inspection.
Service and service type
Purley House is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Purley House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post however an application had been submitted for the current home manager to become registered manager.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed all information held about the service within our online system.
During the inspection
We spoke with two people who use the service about their experience of the care provided. We spoke with three members of staff including the home manager and care staff. We reviewed a range of records. This included two people’s care records and two 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. We looked at quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
3 August 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Purley House is a care home providing personal care to two people at the time of the inspection. The service can support up to three people.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
¿ The service supported people to have control and independence over their own lives.
¿ People were supported by staff to pursue their interests and work towards their aspirations and goals.
¿ People had a choice about their living environment and were able to personalise their rooms.
¿ Staff supported people to take part in activities and pursue their interests in their local area.
¿ Staff supported people to play an active role in maintaining their own health and wellbeing.
Right Care
¿ Staff promoted equality and diversity in their support for people.
¿ People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs.
¿ Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
¿ The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
¿ People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Right culture
¿ The provider did not always ensure the maintenance of the premises safety in regards to legionella checks, thermostatic mixing valves and fail-safe checks.
¿ Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
¿ Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.
¿ Staff placed people’s wishes, needs and rights at the heart of everything they did.
¿ People and those important to them, were involved in planning their care.
¿ Staff evaluated the quality of support provided to people, involving the person and other professionals as appropriate.
¿ People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
¿ Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
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 (published 28 November 2018).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to premises and equipment at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.