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CQC report explained · a nursing home

What the CQC found at Purley Gardens Care Home

Goodpublished 4 July 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Risks, accidents, medicines, infection control and staff recruitment were managed safely. Inspectors found enough staff and no significant delays in call bell responses, but identified one pressure cushion that was not in use and gaps in wound care records.
Effective?
Good
Staff received induction, training, supervision and appraisals. People received health care and suitable diets, although improvements were being made to provide more culturally appropriate food.
Caring?
Good
People and relatives said staff were kind and respectful. Inspectors saw staff protecting privacy and dignity, supporting independence and involving people in care decisions.
Responsive?
Good
Care plans reflected people's needs, preferences and risks, and activities were available. Some care plans needed more detail about equality and diversity, and the home was working on this.
Well-led?
Good
The manager was visible and staff worked as a team. Audits, meetings, complaints monitoring and surveys were used to check and improve the service.
The latest report, explained

What inspectors found, July 2018

Rated Good; inspectors found safe, kind and well-organised care, with some improvements still needed to food choices and care records.

The unannounced inspection took place on 21 May 2018. Inspectors observed care, spoke with people, relatives, staff and health professionals, and checked care plans, staff records, medicines, audits and the building.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, good infection control, kind care and suitable support for people's individual needs.

There were some areas still being improved. These included providing more culturally varied food, recording some equality and diversity information in more detail, and making sure pressure-relieving equipment and wound care records were used and completed as required.

What inspectors praised
  • Safe staffing

    Inspectors found enough staff to meet people's needs promptly. Staffing levels were reviewed when people's needs changed.

    “We observed there were enough staff on duty to meet people's care and support needs promptly.” from the report
  • Medicines

    Medicines were stored, administered and checked safely. Records reviewed showed no recorded omissions or errors.

    “We saw that these were completed correctly by staff with no recorded omissions or errors.” from the report
  • Activities and end of life care

    The home offered a broad range of activities and worked with health professionals to provide end of life support.

    “There was a range of activities offered to people to support their need for social interaction and stimulation.” from the report
  • Quality monitoring

    The home used audits, meetings and feedback to monitor care and make changes, including work to improve call bell response times.

    “The provider recognised the importance of regularly monitoring the quality of the service and there were systems in place to do this effectively.” from the report
What inspectors were concerned about
  • Cultural food choices

    needs fixing

    Menus were mainly English in style and did not include enough culturally diverse choices. The home was working on improving this through feedback and cultural events.

    “We noted there was an absence of culturally diverse menus” from the report
  • Pressure care and records

    serious

    One person's pressure cushion was not in use even though the risk assessment said pressure-relieving equipment was needed. The wound care plan also had gaps, although the manager acted immediately when this was raised.

    “their pressure cushion was not in use.” from the report
  • Care plan detail

    needs fixing

    Some care plans did not contain enough detail about equality and diversity needs beyond religion. The home was introducing a new computer-based care planning system and working on this area.

    “some care plans lacked detail in areas other than religion.” from the report
Questions to ask them, based on this report
  1. 01What culturally suitable meals and menu choices are now available for my relative?
  2. 02How do you check that pressure-relieving equipment is in place and being used when required?
  3. 03How are wound dressings recorded, and how do managers check that records have no gaps?
  4. 04How will my relative's equality, diversity, religious and personal preferences be recorded in their care plan?
  5. 05How are families involved when care needs or staffing levels change?

This was an unannounced inspection of the overall service, including the building and care provided, and it covered all five CQC questions. This explanation was written from the published report of 4 July 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 Purley Gardens Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. July 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Purley Gardens Care Home →

  2. August 2017

    Registered with the Care Quality Commission on 1 August 2017.

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

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

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