Perton Manor

Updated 7 August 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was conducted by two inspectors and a specialist nurse advisor.

Service and service type

Perton Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission; they were also the nominated individual. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The ‘home manager’ had been appointed by the nominated individual to oversee the running of the home on a day to day basis.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service, including Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service and one relative about their experience of the care provided. Due to their communication needs most people were unable to share their experiences with us, so we conducted observations in communal areas throughout the day. We spoke with 13 members of staff including the provider who was also the registered manager, the home manager, members of the senior management team, nurses, nursing students, care team managers, care workers and domestic support staff.

We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits as well as policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at health and safety and quality assurance records. We also spoke with two more relatives who regularly visit the service.

Updated 7 August 2021

About the service

Perton Manor is a residential care home providing personal and nursing care to 44 people at the time of the inspection. The service can support up to 50 people who are living with dementia or have mental health needs.

The home accommodates up to 50 people across two separate wings, each of which has separate adapted facilities. There are communal areas, such as a lounge and dining area in each wing and a shared conservatory space. There is also a large garden.

People’s experience of using this service and what we found

There was an extremely effective style of leadership at the home which led to people receiving care that focused on their well-being. Relatives, staff and external professionals described the leadership and management of the home as extremely good. There was a strong commitment from the management and staff team to deliver quality person-centred care which reflected people’s life histories. People, and their relatives, were supported to share their life experiences which staff used to engage them in meaningful and fulfilling occupation and support them in their anxieties.

People’s well-being was promoted and a research-based approach to therapeutic prescribing aimed to reduce the need for dementia related medicines and staff de-escalation and intervention. Relatives and professionals identified the strength of this approach and testified to its benefits for people living at the home.

The provider promoted a strong ethos of person-centred care combined with staff improvement and development. Staff were empowered by the management team and well equipped with training and support to provide care that focused on people’s individual needs and well-being. Staff were enthusiastic in their roles and told us they felt well supported by the management team and provider. Partnership working played a strong role in ensuring people's support was effective. In developing links with external agencies, the provider ensured the care people received was effective and had positive outcomes for people.

People and relatives we spoke with were confident they and their family members were safe living at Perton Manor. Staff were aware of how to report any concerns for people’s safety and well-being and the home manager was aware of their responsibilities to escalate any concerns. 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. Staff had been safely recruited and there were enough staff to meet people’s care and support needs. Systems used to manage medicines were safe and ensured people received their medicines as prescribed. Where incidents or events occurred, the provider had systems in place to ensure learning took place and this was shared with the staff team to reduce the likelihood of repeated events.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 27 March 2019).

Why we inspected

We received concerns in relation to the management of medicines and neglectful practice. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

The overall rating for the service has remained good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Perton Manor on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.