Primrose House Nursing Home

Updated 15 April 2020

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.

Inspection team:

The inspection team consisted of one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Primrose House Nursing Home is a 'care home'. People in care homes receive accommodation 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.

The home had a manager registered with the CQC. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

Before the inspection

We reviewed information we held about the service. This included details about incidents the provider must notify us about, such as allegations of abuse, and accident and incidents. We also reviewed reports about the home provided by the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and four relatives. We also spoke with a director and senior manager of the company, the nurse in charge, the quality monitoring manager, the administrator, the chef and five care staff. We reviewed a variety of records which related to people's care and the running of the service. These records included care files of six people using the service, six staff employment records, policies and procedures, maintenance and quality monitoring records. The registered manager was on leave when we visited.

After the inspection

We received feedback from two care professionals.

Updated 15 April 2020

About the service

Primrose House Nursing Home is a care home registered to provide accommodation and nursing care for a maximum of 26 older people, some of whom may have dementia. The home may also admit people with a physical disability. At this inspection there were 25 people living in the home.

People’s experience of using this service

People and their representatives were satisfied with the care provided. Staff treated people with respect and dignity. People felt safe in the home. Risk assessments had been documented. Risks to people’s health and wellbeing had been assessed. There was detailed guidance for staff on how to minimise risks to people.

There were arrangements to protect people from abuse. Staff had received training on how to safeguard people and were aware of the procedure to follow if they suspected that people were subject to abuse.

People received their prescribed medicines. There were suitable arrangements for the safe administration of medicines.

There were sufficient staff to attend to people’s needs. Staff had been carefully recruited and essential pre-employment checks had been carried out. They had received training and had knowledge and skills to support people. Staff were supported in their roles and duties. There were arrangements for staff support, supervision and appraisals.

The premises were clean and tidy. There was a record of essential maintenance carried out. Fire safety arrangements were in place.

People’s nutritional and dietary needs and preferences were met. Staff supported people to have a healthy and nutritious diet.

People could access the services of healthcare professionals when needed. Their healthcare needs had been assessed and attended to.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the services supported this practice.

The service provided people with person-centred care and support that met their individual needs and preferences. People’s care needs had been carefully assessed prior to them coming to the home. Staff were knowledgeable regarding these needs.

People could participate in a range of social and therapeutic activities. The service arranged events to celebrate special cultural and religious days.

There was a complaints procedure and people knew how to complain. Complaints recorded had been promptly responded to.

The service was well managed. Management monitored the quality of the services provided via regular audits and checks. The results of the recent satisfaction survey indicated that people and their representatives were satisfied with the care and services provided.

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 22 September 2017).

Why we inspected:

This was a planned inspection based on the previous rating.

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.