CQC report explained · a residential care home
What the CQC found at Perrywood House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People's risks were assessed and care plans told staff how to reduce those risks. Medicines were given as planned, although further improvement was needed in recording as-required medicines.
- Effective?
- Good
- Staff understood people's dietary and health needs, including those linked to Prader-Willi Syndrome. People were supported with health appointments, healthier choices and decisions about their care.
- Caring?
- Good
- People had good relationships with staff who knew them well. Staff promoted dignity, privacy, independence and involvement in care decisions.
- Responsive?
- Good
- Care plans reflected people's preferences and were updated with their involvement. People were supported to keep relationships, pursue interests, work or volunteer, and raise concerns.
- Well-led?
- Good
- A new management team was improving communication, monitoring quality and responding to past complaints. The manager was applying to become the registered manager, but no manager was registered with CQC at the time.
What inspectors found, December 2019
Rated Good; inspectors found safe, kind and personalised care, with some medicines recording improvements still being made.
This was an unannounced planned inspection over three visits in November and December 2019. The inspector met five people, spoke with relatives, staff and professionals, and reviewed care, medicines, recruitment and management records.
The home supported six people with Prader-Willi Syndrome and learning disabilities. Inspectors found enough staff, safe medicines management, regular risk assessments and staff who understood people's needs. People were involved in their care, treated with dignity and supported to keep relationships, work, activities and independence.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in June 2017.
Good understanding of risk
Staff knew people's risks and followed care plans to reduce them. People were also involved in safety practices such as fire evacuation and checking hot water temperatures.
“Care plans informed staff how to provide care that mitigated these known risks.” from the report
Specialist health and dietary support
Staff understood the specific dietary plans and health risks linked to Prader-Willi Syndrome. People's weights and diets were monitored, and staff supported access to health services.
“Staff knew the specific dietary requirements and eating plans for each person living at the home and supported people to follow them.” from the report
Kind and respectful care
People told inspectors staff were kind and friendly. Staff supported people's dignity, privacy, independence and choices.
“People told us staff were kind and friendly.” from the report
Personalised support
People helped create and update their care plans. Staff supported friendships, family contact, hobbies, employment and volunteering.
“People's care was planned and delivered in a person-centred way.” from the report
Improved management and communication
The new management team used audits, incidents and complaints to make changes. A more detailed handover system had improved communication and continuity of care.
“The manager had implemented new systems for handover which had resolved issues relating to medicines and continuity of care.” from the report
As-required medicines records
needs fixingInspectors found that records for as-required medicines needed further improvement. The management team had sought guidance and taken action, but families should check that this is now fully resolved.
“The management team had identified further improvements were required in the recording of 'as required' medicines and had taken appropriate action to seek guidance to make the necessary improvements.” from the report
Registered manager
minorThere was no manager registered with CQC during the inspection. The manager was applying to become registered, while the provider remained legally responsible for how the home was run.
“The service did not have a manager registered with the Care Quality Commission.” from the report
- 01Have the recording arrangements for as-required medicines been fully improved since the inspection?
- 02Is the manager now registered with CQC, and who is responsible for the home day to day?
- 03How will you manage my relative's food intake, weight and health risks linked to Prader-Willi Syndrome?
- 04How are people involved in reviewing their care plans and making decisions about restrictions or activities?
- 05How do you make sure staffing levels and handovers remain sufficient for people's needs?
This was an unannounced planned inspection covering all five CQC questions, and the home and the care provided were both looked at. This explanation was written from the published report of 25 December 2019 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.
What inspectors found, June 2017
Rated Good; inspectors found safe, kind and personalised care, with a small training need around computer systems.
This was an unannounced comprehensive inspection carried out on 13 and 18 April 2017. The inspector spoke with people living in the home, staff and relatives, and reviewed care records, training information, complaints and quality checks.
The home supported six people, with space for up to seven. It specialises in supporting adults with complex needs and behaviours linked to Prader-Willi Syndrome. Inspectors found enough staff, safe medicines support, suitable training, good healthcare support and respectful relationships.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating stayed Good, matching the previous inspection in January 2015.
Safe care and medicines
Inspectors found that people were protected from harm and received their medicines as prescribed. Staff had medicines training and their competence was checked.
“People were consistently protected from the risk of harm and received their prescribed medicines safely.” from the report
Specialist support
Staff had training in Prader-Willi Syndrome, conflict management, nutrition and healthy eating. People were supported with carefully managed diets and access to healthcare.
“People were supported to access a range of healthcare professionals such as the dentist, optician and community mental health services.” from the report
Kind relationships
Staff knew people well and treated them with compassion, dignity and respect. People were offered choices about their routines, activities, food and drink.
“People developed positive relationships with staff and were treated with compassion and respect.” from the report
Personalised support
Care plans were developed with people and reflected their preferences, goals and support needs. Staff adjusted activities and routines to help people achieve positive outcomes.
“People received care that met their individual needs.” from the report
Open management
The home had an open culture, with meetings and surveys for people and staff to share their views. Quality checks were used to support improvements.
“Quality assurance systems were in place to help drive improvements.” from the report
Computer systems training
minorStaff said they would benefit from more training to use the computer systems for e-learning and care plan administration. The report did not say this had affected people's care.
“One area in which staff said that they would benefit from increased training was in the use of the computer systems required to complete their e-learning” from the report
- 01How do you keep each person's Prader-Willi Syndrome dietary plan safe while still supporting choice and enjoyment of food?
- 02What checks are used before someone takes more responsibility for administering their own medicines?
- 03What additional computer systems training has been provided to staff since the inspection?
- 04How are care plans reviewed with each person and changed when their needs or preferences change?
- 05How do you use feedback, complaints and quality audits to make improvements?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating. This explanation was written from the published report of 23 June 2017 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.
Every inspection of Perrywood House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 2011.
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.
Weigh the report against the rest
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89 live-in carers within about an hour of North Northamptonshire
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. 76 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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.