CQC report explained · a nursing home
What the CQC found at Perton Manor
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from avoidable harm, with enough staff, safe recruitment, detailed risk plans and safe medicines systems. A recent medicines error was being investigated.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership, a strong person-centred culture, well-supported staff and effective partnership working.
What inspectors found, August 2021
Rated Good; inspectors found safe care and exceptionally strong leadership, but a recent medicines error was still under investigation.
This was an unannounced focused inspection on 21 June 2021. Inspectors looked at Safe and Well-led after concerns about medicines management and possible neglect. They spoke with people, relatives, staff and outside professionals, observed care and checked care, medicines, recruitment and management records.
The home was rated Good for Safe. Inspectors found enough staff, safe recruitment, good safeguarding arrangements and detailed risk plans. Medicines were generally managed safely, although the home had reported a recent medicines error and its investigation was still ongoing.
The home was rated Outstanding for Well-led. Inspectors found strong, person-centred leadership, well-supported staff, detailed knowledge of people's life histories and effective work with outside agencies. The overall rating stayed Good. The other three areas were not inspected during this visit, so their previous ratings were used.
Person-centred support
Staff took time to understand people's histories, anxieties and preferences. This helped them provide calmer and more individual support.
“There was a strong commitment from the management and staff team to deliver quality person-centred care which reflected people's life histories.” from the report
Strong leadership
Inspectors found the home exceptionally well-led. Staff, relatives and outside professionals gave very positive feedback about the management team.
“There was an extremely effective style of leadership at the home which led to people receiving care that focused on their well-being.” from the report
Staff training and support
Staff reported feeling well supported and well trained. The home had a strong focus on development and on helping staff meet complex needs.
“The provider promoted a strong ethos of person-centred care combined with staff improvement and development.” from the report
Safety arrangements
Inspectors found enough staff, safe recruitment, good safeguarding knowledge and detailed plans for managing risks and distressed behaviour.
“A proactive approach to risk management was taken and 'living well' coordinators were employed to ensure people were stimulated and engaged in activities which reduce their anxieties.” from the report
Recent medicines error
needs fixingThe home had reported a medicines error shortly before the inspection. The investigation was still ongoing, and the report said staff had not followed the medicines systems on that occasion.
“The error had occurred after medicines systems were not followed, despite there being robust governance processes in place.” from the report
- 01What was the recent medicines error, and what did the investigation find?
- 02What changes were made after the medicines error to prevent it happening again?
- 03How are people's life histories and preferences used to plan their daily care?
- 04How does the home aim to reduce the use of medicines for dementia-related behaviours?
- 05What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 7 August 2021 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, March 2019
Perton Manor was rated Good overall, with Outstanding leadership and no concerns substantiated at this inspection.
Inspectors visited without warning on 19 February 2019. They spoke with people living in the home, relatives and staff. They observed care and checked care records, medicine records, notifications and quality checks.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, safe medicine systems, suitable training, kind care, personalised support and activities. They also found people were offered choices and had access to health professionals.
Well-led was rated Outstanding. Inspectors found people, relatives and staff were closely involved in improving the home. The provider supported learning, worked with outside organisations and had strong systems for checking quality.
The inspection was brought forward because of information about concerns. The report says those concerns were not substantiated. The previous inspection, published on 22 December 2017, also rated the home Good overall.
Strong leadership
Inspectors found an open culture and strong oversight of care quality. Staff were encouraged to develop and contribute ideas.
“The provider had created an exceptionally open culture and had developed extremely positive values within the service.” from the report
Safe staffing
Inspectors found enough staff available, including one-to-one support for people who needed it. People did not have to wait for help.
“There were enough staff available for people and they did not have to wait for support.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw staff interacting warmly with people and protecting their privacy and dignity.
“We saw staff chatting, laughing and interacting with people throughout our inspection.” from the report
Personalised support
Care plans included clear information about people's needs, preferences and communication. People were able to choose activities and how they spent their day.
“Care and support plans were written with clear guidance to staff to help ensure they delivered care in a way that met people's needs, took account of their preferences and was safe.” from the report
Family involvement
The home ran regular sessions to help relatives understand care, behaviour management, funding and expectations. Families could also share experiences with one another.
“This programme is now fully imbedded in the home and runs on a quarterly basis to educate families and friends in these areas and more.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative if they showed behaviour that may challenge, and how would you review their risk plan?
- 02How would you involve me in care planning and in the Relatives Awareness Programme?
- 03What activities are available, and how would you match them to my relative's interests and communication needs?
- 04How would you support my relative's dietary, fluid and weight-monitoring needs?
- 05What support could you provide if my relative later needed end of life care?
This was an unannounced inspection covering all five CQC questions, including both the premises and the care provided; the report says end of life care was not being provided at the time. This explanation was written from the published report of 27 March 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.
Every inspection of Perton Manor
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- August 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- March 2019Goodstayed GoodSafe: GoodWell-led: Outstanding
- December 2017Goodstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- June 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- April 2013
Registered with the Care Quality Commission on 25 April 2013.
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.
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