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CQC report explained · a residential care home

What the CQC found at Primrose House

Goodpublished 19 June 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People had risk assessments, suitable staffing and safe medicines systems. Inspectors noted that a recent legionella test had not yet been carried out and that a business continuity plan was still being created.
Effective?
Good
Care plans were comprehensive and individual. Staff had induction and training, supported people's nutrition and healthcare, and followed best practice for consent and best-interest decisions.
Caring?
Good
People were treated with kindness, dignity and respect. Staff understood people's individual ways of communicating and encouraged choice and independence.
Responsive?
Good
Care was personalised and included people's preferences, communication needs and interests. People were supported to take part in activities at home, in the community and at day projects.
Well-led?
Good
The home had regular checks on care, medicines, staff records and other documents. Families and staff could give feedback, and the manager had a service improvement plan.
The latest report, explained

What inspectors found, June 2019

Rated Good; inspectors found safe, kind and personalised care, with a recent legionella test and a business continuity plan still being arranged.

This was an unannounced planned inspection on 13 and 14 May 2019. One inspector visited the home, spoke with relatives, a professional, the manager and staff, and reviewed care, staff and management records.

Five people were living at the home. They had learning disabilities and/or autism. Inspectors found that people were safe, treated kindly, involved in their care and supported to make choices, be independent and take part in activities.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection on 17 November 2016. Inspectors said they found no concerns and planned to inspect again within the published timeframe for services rated Good.

What inspectors praised
  • Personalised care

    Care plans described people's needs, preferences and how they wanted support. Staff knew people well and adapted communication for those who did not communicate verbally.

    “People's needs were captured in comprehensive care plans which contained detailed information about how they wished to receive their care and support.” from the report
  • Kind and respectful staff

    Inspectors observed staff treating people with dignity and respect. Relatives and professionals also described the staff as kind and caring.

    “People had developed caring relationships with their care workers.” from the report
  • Safe medicines

    Trained staff gave medicines as prescribed, with competency checks and accurate records. The home also had systems to follow up gaps or mistakes.

    “People received their medicines from trained staff who had their competency checked.” from the report
  • Good management

    The home had checks covering care files, medicines, staff records and daily records. Feedback was collected from people, relatives and professionals.

    “There were robust management systems in place to promote person-centred care.” from the report
What inspectors were concerned about
  • Legionella test overdue

    needs fixing

    Inspectors found that a recent legionella test had not been completed, although water safety checks had been monitored. The manager said this would be arranged.

    “We noted that although the provider had monitored water safety checks, a legionella test had not recently been carried out.” from the report
  • Business continuity plan not finished

    minor

    The home was still creating a plan for events such as bad weather or staff sickness. Inspectors were told these risks had been managed effectively before.

    “The provider was in the process of creating a business continuity plan to manage risks such as bad weather, or staff going sick” from the report
Questions to ask them, based on this report
  1. 01Has the legionella test mentioned in the report been completed, and what did it show?
  2. 02Is the business continuity plan now finished, including arrangements for bad weather and staff sickness?
  3. 03How will you support my relative's particular way of communicating if they do not communicate verbally?
  4. 04What activities and community opportunities would be available for my relative?
  5. 05How will my relative and our family be involved in care decisions and give feedback?

This was an unannounced planned inspection covering all five quality areas, the premises and the care provided. This explanation was written from the published report of 19 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, November 2016

Rated Good; inspectors found safe, kind and personalised care, with earlier record-keeping problems reported as fixed.

This was an unannounced inspection on 13 October 2016. The inspector spoke with four people using the home, three relatives, the registered manager and three staff. They reviewed care plans, staff files, training records, audits and other records.

The home supported up to six people with learning disabilities. Five people were living there at the time. Inspectors found people were safe, treated with respect and supported by trained staff. Medicines, staffing, risk assessments and infection control were managed appropriately.

Care plans gave staff clear information about people's routines, preferences, communication and health needs. People were supported with activities, family contact, food choices and health appointments. The home was rated Good in all five areas: safe, effective, caring, responsive and well-led.

A previous inspection in September 2015 found inaccurate or incomplete records and a failure to monitor quality effectively. At this inspection, the provider had completed the planned actions. Inspectors found better records and a stronger audit system.

What inspectors praised
  • Safety planning

    People's individual risks were assessed and staff had guidance on how to reduce risks at home and in the community.

    “Appropriate risk assessments were in place to keep people safe.” from the report
  • Trained staff

    Staff training was up to date and included areas such as safeguarding, first aid, moving and handling, the Mental Capacity Act and infection control.

    “There were enough qualified and skilled staff at the service.” from the report
  • Respect and dignity

    Staff knew people's routines, interests and preferences. They supported privacy, choice and communication in ways people could understand.

    “People were treated with respect. Staff understood how to provide care in a dignified manner and respected people's right to privacy and choice.” from the report
  • Personalised support

    Care plans described people's needs, preferences, routines and ways of communicating. People were supported to take part in activities and maintain family relationships.

    “The service had written person-oriented plans which reflected how people wanted to receive their care and support.” from the report
  • Quality checks

    The provider had introduced several audits covering records, medicines, fire safety and the home. Inspectors said record keeping had significantly improved.

    “The provider had effective systems in place to regularly assess and monitor the quality of service provided to people.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you check that care records remain accurate and complete?
  2. 02How are people involved in reviewing their care plans, including the easy-to-read versions?
  3. 03How do you make sure activities and community outings continue to match each person's interests and needs?
  4. 04How are medicines given when needed, and how do you review the use of as-required medicines?
  5. 05How are relatives told about changes in a person's health, appointments or care needs?

This was an unannounced inspection covering all five rating areas and checking progress after the previous inspection's record-keeping and quality-monitoring breach. This explanation was written from the published report of 17 November 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Primrose House

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. June 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Primrose House →

  2. November 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Primrose House →

  3. October 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. January 2015

    Registered with the Care Quality Commission on 2 January 2015.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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Care at home

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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.

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See live-in carers near HampshireProfiles, rates and reviews are free to look at.

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