Purley House

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.

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.