23 Perryn Road

Updated 24 February 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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. 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

The inspection was conducted by one inspector.

23 Perryn Road 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. The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service, a visiting adult social care professional, the deputy manager and the registered manager. We 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 looked at a range of records. This included two people’s care records and medication records and two staff files in relation to recruitment and supervision. We viewed a variety of records relating to the management of the service, including training and quality assurance records.

After the inspection

We spoke with four relatives of people who use the service, two staff and seven health and social care professionals who have worked with the service. We continued to seek clarification from the provider to validate evidence found. We requested more records relating to the management of the service, such as care plans and staffing information and health and safety management information.

Updated 24 February 2022

About the service

23 Perryn Road is a residential care home providing care and support for up to eight people with a learning disability. At the time of our inspection eight people were living at the service. Some people also had complex needs including needs associated with mental health.

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.

People’s experience of using this service and what we found

People were treated with dignity and respect and supported by staff who were caring.

A professional said they had seen staff “providing really good, respectful person centred support.”

Relatives said people’s care needs were met. Their care plans were developed with them and set out their likes, preferences and communication needs. People were supported with their medicines safely and to access healthcare.

Staff received induction, training and supervision and felt supported in their roles. There were appropriate staff recruitment processes in place to ensure the provider only employed fit and proper people.

There were systems in place to monitor the quality of the service and identify when improvements were required. People, their relatives and staff were asked to give feedback about the service. Relatives felt involved in people’s care. They knew how to raise concerns and felt they would be listened to if they did.

There were procedures in place for preventing and controlling the spread of infection.

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.

We have made a recommendation about maintaining records so there were always complete and accurate records of people’s care.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support

Staff supported people to have choice and control over their daily living and encouraged them to be independent. People’s care plans promoted their independence and set out goals that were meaningful for them. Staff supported people to achieve these. Staff supported people to take part in activities and access their local area safely. People were involved in making decisions about their home environment and were able to personalise their rooms.

Right care

People who had individual ways of communicating, including using body language, sounds and pictures could interact comfortably with staff because staff had the necessary skills and experience to understand them. 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.

Right culture

Staff turnover was low, which supported people to receive consistent care from staff who knew them well and with whom they could develop trusting relationships. People received good care and support because trained staff knew how to meet their needs and wishes. People and those important to them, including advocates, were involved in planning and reviewing their care. The provider evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.

The service enabled people and those important to them to be involved in the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 1 December 2020 under a new provider and this is their first inspection. The last rating for the service under the previous provider was good published 10 February 2020.

Why we inspected

This was a planned inspection based on the date of registration. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service using our intelligence models and we will return to visit when indicated. If we receive any concerning information we may inspect sooner.