This was an unannounced inspection which took place on 04 October 2018.

Purley House is a care home (without nursing) which is registered to provide a service for up to three young adults who are being supported to leave care. The young people had a variety of support needs.

People in care homes receive accommodation and nursing or personal care as a 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.

Purley House accommodates people in a domestic sized building.

The care home was registered in October 2017 and this is the first inspection of the service.

The service was exceptionally responsive to the needs and choices of the young adults who live there. Staff were extremely flexible and readily adapted to meet people's development and diverse needs. The service was extraordinarily person centred and young adults were supported according to their individual needs. Activity programmes were innovative and designed to meet people's individual development needs whilst incorporating their preferences and choices. Care planning was highly individualised and regularly reviewed which ensured the current needs of the young adults were met and their equality and diversity was supported and respected.

The registered manager was respected and highly thought of by the staff team. She and the management team ensured the service was exceptionally well-led. The registered manager and the staff team were committed to ensuring they offered the young adults positive support and assisted them to independence. The young adults were as involved as possible in running the service and were supported to adhere to the values the staff team were committed to. The quality of support the service provided was constantly assessed, reviewed and improved by the provider, the registered manager, the staff team and the young adults.

The young adults were protected from all forms of abuse. Staff were trained in safeguarding people and knew what action to take if they identified any concerns. The young adults were provided opportunities to learn how to keep themselves safe. The service identified general health and safety and individual risks. Action was taken to reduce all risk, as much as possible. All aspects of safety were considered and actions were taken to assist people to remain as safe as possible.

The young adults were supported by adequate staffing numbers. Staff were able to meet people’s specific needs, including any diversity, safely. Recruitment systems made sure, that as far as possible, staff recruited were safe and suitable to work with young adults. People were supported to take their medicines, at the right times and in the right amounts by trained and competent staff.

A well-trained and knowledgeable staff team offered young adults effective care. They met people’s diverse needs including their current and changing health and emotional well-being. The service worked very closely with health and other professionals to ensure they offered individuals the best care in the most effective and positive way.

The young adults were empowered to make choices and decisions and take control of their lives. Staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The caring and committed staff team continued to meet the young adults needs with kindness and respect. They ensured they promoted people’s privacy and dignity and communicated with them effectively.