Archived: Perry Locks Care Home

Updated 15 March 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is 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 10 and 11 January 2017 and was an unannounced inspection. On the 10 January we visited the service in the evening and spent time on Lawrence House, Perry Well House and briefly visited Brooklyn. On 11 January we spent time on Lawrence and Calthorpe House.

The inspection team comprised of two inspectors.

In planning our inspection, we looked at the information we held about the service. This included the last inspection report and notifications received from the provider about deaths, accidents/ incidents and safeguarding alerts which they are required to send us by law. We had received information that indicated that people may not always be cared for in a safe way and we used this information to inform our inspection. We contacted the local authorities and commissioners that purchase the care on behalf of people, to see what information they held about the service and we used this information to inform our inspection.

We spoke with 10 people who lived at the home and five relatives. Some people were less able to express their views and so we observed the care and support that they received in communal areas. We spoke with eight care staff , three nurses, two unit managers and the registered manager.

We looked at four care records to see how care and treatment was planned and delivered. We also looked at records maintained by the home about staffing, training, health and safety and medicine records.

Updated 15 March 2017

This focused inspection took place on 10 and 11January 2017. Our last inspection of this service was on 29 and 30 June 2016. At that time we found that although improvements had been made since the previous inspection in June 2015 some further developments were required to ensure that the service was fully compliant with the regulations. Following our inspection in June 2016 we received some concerns about staffing levels at the service and there was also information that raised concern about people’s safety.

This report covers our findings in relation to this unannounced focused inspection where we only looked at the domain of ‘Safe’. We visited the service at night and returned the next day to complete the inspection. You can read the report from our last comprehensive inspection by

Selecting the 'all reports' link for Perry Locks Nursing Home on our website at www.cqc.org.uk.

Perry Locks Nursing Home is registered to provide accommodation and nursing care for 128 people who have nursing or dementia care needs. There were 118 people living there at the time of our inspection. The home is purpose built and consists of four separate buildings. Perry Well House is for people with dementia. Brooklyn House, Calthorpe House and Lawrence House provide nursing care for older people. The service had a number of intermediate beds across the four houses. Intermediate beds means specialist care to people who have been discharged from hospital but need extra care and support before they return home.

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.

People did not always receive care and support in a timely manner and improvements were needed to ensure that there were enough staff to care for people safely at night. Improvements were needed to the management of medicines, to the support people received to eat safely and to ensure that systems in place for ensuring people’s safety were well established. You can see what action we asked the provider to take at the back of this report.

People were protected by robust recruitment procedures and staff received training and told us they were aware of their responsibility to protect people from the risk of abuse. Staff told us that they knew what to do to ensure people’s safety in the event of a fire and or an emergency.