Background to this inspection
Updated
11 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 4 February 2022 and was unannounced.
Updated
11 March 2022
We inspected this service on 8 November 2018. This inspection was unannounced.
A comprehensive inspection took place during December 2016 and the overall rating awarded was ‘Good.’ We carried out a further inspection on 14 August 2017 concentrating on two areas ‘safe’ and ‘well-led due to concerns received.’ However, the overall rating for the service awarded following this inspection changed to ‘Requires Improvement’. The provider was not meeting one of the regulations that we checked and was in breach of Regulation 17 of the Health and Social Care Act (Regulated Activities) Regulations 2014. Following the last inspection, we asked the provider to take action to make improvements to promote people's safety and to improve systems and processes to monitor the quality of the service. The provider submitted an action plan outlining their plan for improvements.
At this inspection we found that the provider had made improvements and were now meeting fundamental care standards, resulting in a rating of ‘Good.’
Perth House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Perth House is situated in the Chaddesden area of Derby and is owned by Derby City Council. Perth House is registered to provide personal care and accommodation for up to 39 older people and younger adults. The service has intermediate care beds for people who need further therapy or treatment following a hospital admission and social care beds for people who are being assessed and supported prior to returning home or to another care service. At the time of our inspection there were 20 people using the service.
A registered manager was in post. 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 with the care provided by staff. Staff we spoke with understood their responsibility in protecting people from the risk of harm. Staff told us they had received training and an induction that had helped them to understand and support people.
People were supported with their medicines in a safe way. Staff were available to support people when they required it.
Recruitment procedures were thorough to ensure prospective staff were suitable to care and support people at Perth House.
Risks were managed according to individual need and we saw staff support people safely and appropriately with transfers.
People were protected by the provider's infection control procedures, which helped to maintain a clean and hygienic environment.
People were supported to have maximum choice and control of their lives. Staff were aware of the importance of seeking consent from people and demonstrated an understanding of the Mental Capacity Act 2005.
People were supported to maintain their health and well-being and had access to healthcare professionals such as GP's when required. People were supported with their dietary needs.
People were cared for by staff who were kind and caring. Staff respected people's privacy and dignity. People were supported with their independence by staff. Visitors were welcomed at Perth House.
The provider’s complaints policy and procedure were accessible to people who used the service and their representatives. People knew how to make a complaint and felt the provider would take action to address any concerns.
People received a service which was well-led. The service monitored the quality of the service people received, where shortfalls were identified actions were taken to improve. People were asked for their views about the service and were listened to