Purley View Nursing Home is a purpose built residential home that provides nursing care and support for up to 39 older people, some of whom are living with dementia. At the time of our inspection 34 people were using the service.
Our inspection took place on 10 and 11 February 2015 and was unannounced. At our last inspection in May 2013 the provider met the regulations we inspected.
We met with the newly appointed manager who had started their registration process with the Care Quality Commission (CQC) to become a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe. Staff knew how to identify if people were at risk of abuse and what to do to help ensure they were protected.
Staff spoke with people in a friendly and kind way. They were helpful and polite while supporting people at mealtimes to make sure people had sufficient amounts to eat and drink. People and their relatives were positive about the food at Purley View Nursing Home. Special dietary requirements were catered for and people’s nutritional risks were assessed and monitored.
We observed that staff were caring. They showed people dignity and respect and had a good understanding of individual needs.
Staff made sure any risks to people’s safety were identified and managed appropriately. The manager had identified areas where improvement was needed in the service. Improvements were on-going at the time of our inspection. This included essential maintenance needed to ensure the safety of people who used the service.
People had access to healthcare services when they needed it and received ongoing healthcare support from GPs and other healthcare professionals.
People and staff were asked for their views on how to improve the service. Staff felt listened to and supported by their manager.
Staffing numbers were managed flexibly in order to support the needs of people using the service so that they received care and support when needed. Staff received the training they needed to deliver safe and appropriate care to people.
The provider was aware of the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) that ensured people’s rights were protected.
The provider had systems in place to help them understand the quality of the care and support people received. Accidents and incidents were reported and examined. The manager and staff used this information to make improvements to the service.
People received their prescribed medicines at the right times, these were stored securely and administered by registered nurses. We found some records that related to people, who were given their medicines covertly, were not always complete.
We have recommended that the provider consults the National Institute for Clinical Excellence (NICE) Guidance on Managing Covert Medicines in Care Homes.