Purley Gardens Care Home

Updated 4 July 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 21 May 2018. The inspection was unannounced and carried out by three inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Prior to our inspection we reviewed the information we held about the provider. This included notifications received from the provider about deaths, accidents and safeguarding. A notification is information about important events that the provider is required to send us by law. The provider also completed a Provider Information Return (PIR) prior to the inspection which we reviewed. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to help inform our inspection planning.

During our inspection we spent time observing the support provided to people in communal areas and at meal times. Due to their needs, some people were unable to directly share their views and experiences with us so we therefore used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with 17 people using the service, four visiting relatives and five visiting health and social care professionals. We spoke with 21 members of staff including the provider’s operations director, registered manager, deputy manager, nursing staff, care staff, activity coordinators, chef and kitchen staff and domestic and maintenance staff. We looked at 11 people’s care plans and care records, seven staff recruitment, training and supervision records and records relating to the management of the service such as audits and policies and procedures. We also looked at areas of the building including communal areas and external grounds. Following our inspection, the registered manager also sent us information we requested including information on planned improvements.

Updated 4 July 2018

This inspection took place on 21 May 2018 and was unannounced. This was the first inspection of the service since the provider changed and re registered with the CQC in May 2017. Sunrise of Purley is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Sunrise of Purley provides residential and nursing care and support for up to 119 older people. Accommodation is spread over four floors with a separate specialised reminiscence neighbourhood catered for people living with dementia. The service also offers short stay respite care breaks. At the time of our inspection there were 109 people using the service. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Risks to people were assessed, recorded and managed safely by staff. Medicines were managed, administered and stored safely. People were protected from the risk of abuse, because staff were aware of the types of abuse and the action to take to ensure peoples safety and well-being. There were systems in place to ensure people were protected from the risk of infection and the home environment was clean and well maintained. Accidents and incidents were recorded, monitored and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff to meet people’s needs in a timely manner.

There were systems in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals. Staff were aware of the importance of seeking consent and acted in accordance with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. This provides protection for people who do not have capacity to make decisions for themselves. People’s nutritional needs and preferences were met; however, improvements were being made to ensure people’s cultural preferences were catered for. People had access to health and social care professionals when required and staff worked well with health and social care professionals to meet people’s needs.

People told us staff treated them with kindness and respected their privacy and dignity. People’s diverse needs were met and staff were committed to supporting people to meet their needs with regard to their disability, race, religion, sexual orientation and gender. People were involved in making decisions about their care. There was a range of activities available to meet people’s interests and needs. The service provided care and support to people at the end of their lives. People’s needs were reviewed and monitored on a regular basis. People were provided with information on how to make a complaint. There were effective systems in place to monitor the quality of the service provided. People’s views about the service were sought and considered.