CQC report explained · a residential care home
What the CQC found at Primrose Villa
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe medicines systems, suitable risk assessments and appropriate infection control arrangements.
- Effective?
- Good
- This question was not rated in this inspection.
- Caring?
- Good
- This question was not rated in this inspection.
- Responsive?
- Good
- This question was not rated in this inspection.
- Well-led?
- Good
- The home had clear management oversight, regular audits and a culture focused on people's rights, choices and individual needs.
What inspectors found, August 2022
Primrose Villa was rated Good; inspectors found safe, person-centred care and strong management, with a manager change under way.
This was an unannounced inspection on 7 July 2022. One inspector spoke with all six people living at the home, three staff and the registered manager. They also reviewed care, risk, medicines, maintenance and management records, and infection control arrangements.
Inspectors rated Safe and Well-led as Good. They found enough staff, safe medicines arrangements, up-to-date risk assessments and effective safeguarding systems. People were supported to make choices, stay independent and take part in activities and the local community.
Staff knew people's communication and support needs. Inspectors found that people were involved in their care and in decisions about the home. The overall rating was Good, but this inspection only gave ratings for Safe and Well-led.
Up-to-date risk information
Care records and risk assessments were detailed, current and gave staff guidance on managing risks linked to health conditions and daily care.
“People had detailed and up-to-date risk assessments. These included information about risks associated with, behaviours, medical conditions, managing personal care and medicines.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines were ordered, stored, given and checked safely.
“Medicines were managed safely to ensure people received them safely and in accordance with their health needs and the prescriber's instructions.” from the report
Choice and independence
People were supported to make choices, take positive risks and follow their interests in the home and community.
“The model of care and setting maximised people's choice, control and independence.” from the report
People involved in decisions
People had daily opportunities to discuss concerns and changes, and took part in house and keyworker meetings.
“People were fully included in their care and the way the home was run.” from the report
Staff understood people
Staff understood people's individual communication, behavioural and care needs and treated people respectfully.
“Staff knew people well and demonstrated an understanding of people's individual care, behavioural and communication needs.” from the report
Staff recruitment ongoing
minorThe home was recruiting more staff. Inspectors said staffing was currently enough, but families may want to understand how vacancies and absences are covered.
“The home were in the process of recruiting more staff.” from the report
Management handover
minorThe registered manager was stepping down, and a new manager was being inducted. Families may want to ask how continuity will be maintained during the change.
“The registered manager was stepping down from their role but planned to continue as bank staff. A new manager had been recruited and was being inducted into their role.” from the report
- 01How will the change of manager affect people's daily routines, care plans and relationships with staff?
- 02How many staff vacancies are there now, and how are shifts covered while recruitment continues?
- 03How are people's risk assessments reviewed when their health, behaviour or support needs change?
- 04How would you support my relative to take part in local activities, education, work or volunteering if they wanted to?
- 05How are medicines checked, including medicines given when needed and support with insulin or other self-managed medicines?
This was an unannounced inspection focused on Safe and Well-led; the other three key-question ratings were not given in this report. This explanation was written from the published report of 3 August 2022 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.
What inspectors found, September 2019
Rated Good; inspectors found kind, safe and person-centred care, with some records and activity planning needing attention.
This was an unannounced, planned inspection on 14 August 2019. One inspector spoke with people, staff and relatives, and reviewed care records, medicines records, staff files and management documents.
The home supported seven people with learning disabilities and additional needs. Inspectors found that people were safe, treated with dignity and supported to make choices. Staff were trained, medicines were generally managed safely, and people could access health services and activities.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. Safe had improved from Requires Improvement at the previous inspection. Inspectors recommended improving the information kept on site, and noted plans to improve staff supervision, care records and activities.
Kind and respectful care
People and relatives gave positive feedback. Inspectors saw staff speaking warmly with people and treating them with dignity.
“People liked living at Primrose Villa. Staff provided kind and caring support and treated people with dignity and respect.” from the report
Flexible staffing
The home monitored staffing levels and adjusted them to meet people's needs. Staff had time to spend with people safely.
“Staffing levels were monitored and were flexible to ensure people received the support they required.” from the report
Person-centred support
Care plans described what mattered to each person, their preferences and their goals. People were supported to have choice, control and independence.
“People received individualised support and were treated with dignity and respect.” from the report
Good management checks
The home used audits, regular visits and action plans to monitor care and address shortfalls.
“The provider had effective quality assurance processes to monitor and improve standards.” from the report
No restrictive interventions
The home used positive behaviour support and did not use restraint, seclusion or segregation during the review.
“The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.” from the report
Records were not always clear
needs fixingInspectors found old policies and several versions of some documents. They recommended that the provider review and update the records kept on site.
“Information available about risks and safety was not always clear or up to date.” from the report
Some medicines records had gaps
minorInspectors found two recent gaps in one person's medicines record. Staff corrected the issue immediately.
“We found two recent gaps in one person's record.” from the report
Activities could be broader
minorPeople had activities and outings, but some relatives and staff felt there should be more daytime activities and community involvement. A development plan was already in place.
“There could be more daytime activities, more things in the community.” from the report
- 01How have you checked that old and duplicate care records and policies have been removed?
- 02Are all staff now receiving supervision as often as the provider requires?
- 03What changes have been made to prevent gaps in medicines administration records?
- 04What new daytime and community activities have been added since the inspection?
- 05How will you check that the upstairs bedrooms and bathrooms remain suitable for my relative?
This was an unannounced planned inspection covering all five CQC questions, and the report says the previous overall rating was Good while Safe had improved from Requires Improvement. This explanation was written from the published report of 18 September 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.
Every inspection of Primrose Villa
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- August 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2019Goodstayed GoodSafe: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 6 January 2011.
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.
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40 live-in carers within about an hour of Bristol, City of
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 £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.