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CQC report explained · a nursing home

What the CQC found at Perry Manor

Outstandingpublished 16 October 2018, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse, supported by enough staff and helped to manage risks safely. Medicines were generally managed safely, although inspectors found one medicine recording error that had not affected the person.
Effective?
Good
Staff had the training and skills needed to meet people's individual needs. People were supported with food, drink, healthcare and decisions about their care, including under the Mental Capacity Act.
Caring?
Good
Inspectors found staff were kind, compassionate and respectful. People were involved in decisions about their care, and staff supported privacy, dignity and independence.
Responsive?
Outstanding
Care was tailored to people's interests, abilities and needs. Staff used creative approaches to support people living with dementia, maintain community links and help people pursue hobbies and personal goals.
Well-led?
Outstanding
The home had strong leadership and an open culture. People and staff helped shape the service, while regular audits and feedback were used to drive improvements.
The latest report, explained

What inspectors found, October 2018

Rated Outstanding; inspectors found kind, safe care with especially strong personalised support and leadership.

The inspection was unannounced on 26 July 2018, followed by an announced visit on 1 August 2018. Inspectors spoke with people living at the home, relatives, staff and a healthcare professional. They also checked care records, medicines records, recruitment, training and quality checks.

The home was rated Good for Safe, Effective and Caring. Inspectors found people were protected from abuse, supported by enough trained staff, given their medicines safely, and helped with food, drink and healthcare. They also found staff were kind, respectful and supported people's independence.

The home was rated Outstanding for Responsive and Well-led. Inspectors found care was tailored to people's individual needs, including creative support for people living with dementia. People and staff were actively involved in improving the home, and quality checks were used to identify and follow up improvements.

The overall rating was Outstanding. At the previous inspection in February 2016, the home was rated Good. Safe, Effective and Caring remained Good, while Responsive and Well-led improved to Outstanding.

What inspectors praised
  • Personalised care

    Staff adapted care to people's histories, interests and abilities. Inspectors saw creative support that helped people feel valued and included.

    “Staff used the detailed information in each person's care plan to ensure they received individualised care and support that met their particular needs” from the report
  • Support for people with dementia

    Staff used thoughtful approaches to reduce anxiety and help people living with dementia take part in the life of the home.

    “This showed a skill and desire from staff to include people living with dementia, to ensure they had a say in their care and were part of the home.” from the report
  • Kind and respectful staff

    People and relatives spoke very positively about staff's kindness, communication and respect for privacy and dignity.

    “People highly praised the management and staff team who without exception were caring and compassionate.” from the report
  • Strong leadership and improvement

    The home involved people in decisions and used audits, feedback and staff ideas to improve care and the environment.

    “There were strong systems in place to review the quality of care and monitor service delivery.” from the report
What inspectors were concerned about
  • Medicine recording error

    needs fixing

    Inspectors found one medicine recording error. It had not affected the person, and the home described actions to reduce the chance of it happening again.

    “In addition, we found one medicine recording error and although this had not impacted on the person we heard positively how actions would be taken to reduce this from happening again.” from the report
  • Limited dining space

    minor

    Inspectors found that dining space in one area was limited. Staff said there were plans to add another dining table.

    “Staff were already aware the dining facilities in one area required increasing as we saw space was limited.” from the report
Questions to ask them, based on this report
  1. 01What caused the medicine recording error found at the inspection, and what checks are now in place to prevent a repeat?
  2. 02Was the planned extra dining table added, and is there now enough dining space for everyone who wants to eat there?
  3. 03How do you learn about a new resident's history, interests and preferred ways of receiving care?
  4. 04How do you support people living with dementia when they become anxious or are confused about their surroundings?
  5. 05How are residents and relatives currently involved in decisions about activities, staffing and changes to the home?

This was a comprehensive inspection of the overall service, covering Safe, Effective, Caring, Responsive and Well-led; the first visit was unannounced and the return visit was announced. This explanation was written from the published report of 16 October 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Perry Manor

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. October 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Perry Manor →

  2. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2014

    Registered with the Care Quality Commission on 6 June 2014.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Worcestershire

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,260 a week. 85 can care for a couple. 9 years' experience on average.

“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
Brian G., about Chris M.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Katrina O., about Sekai M.
See live-in carers near WorcestershireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.