Perrywood House

Updated 25 December 2019

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 Care Act 2014.

Inspection team

The inspection was undertaken by an inspector.

Service and service type

This service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We had not requested any information from the provider before the inspection. We used all of this information to plan our inspection.

During the inspection-

We met five people who used the service and spoke with two relativse on the telephone about their experience of the care provided. We spoke with nine members of staff including six support workers, the deputy manager, the manager and the operations manager. We spoke with one visiting social worker and spoke with two professionals on the telephone.

We reviewed a range of records. This included three people’s care records and medicines 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.

Updated 25 December 2019

About the service

Perrywood House is a residential care home for up to seven people. The service specialises in supporting adults with a range of complex needs and behaviours associated with Prader-Willi Syndrome (PWS) and learning disabilities. PWS is a genetic condition that means people with the condition will have an insatiable desire for food, which can make the person eat excessively. This has the potential to result in life threatening obesity. There were six people using the service at the time of our inspection.

The care service has been developed and designed in line with the values that underpin the 'Registering the Right Support' and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Staff understood their roles and responsibilities to safeguard people from the risk of harm. People were supported to maintain their health and well-being through careful planning of food intake and access to relevant health and social care professionals.

People’s medicines were managed in a safe way. People’s risks were assessed at regular intervals or as their needs changed. Care plans informed staff how to provide care that mitigated these known risks.

There were enough staff deployed to meet people’s needs. Staff were recruited using safe recruitment practices; people assisted with interviewing of new staff. Staff received training to enable them to meet people’s needs and were supported to carry out their roles.

People received care from staff they knew. Staff had a good understanding of people's needs, choices and preferences. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.

People were involved in the planning of their care which was person centred and updated regularly. People were supported to express themselves, their views were acknowledged and acted upon. The manager responded to complaints using the providers policies.

The management team continually monitored the quality of the service, identifying issues and making changes to improve the care. Staff were involved in making improvements following incidents and lessons learnt were clearly communicated. The new management team promoted a staff culture which was open and honest.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 22 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.