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CQC report explained · a residential care home

What the CQC found at Primrose Villa Care Home

Goodpublished 6 April 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Are people protected from harm? Staffing, medicines, infection control, safeguarding.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Audits, action plans, resident meetings and feedback systems had improved. Staff spoke positively about the management change and said they felt supported.
The latest report, explained

What inspectors found, April 2022

Primrose Villa Care Home was rated Good; inspectors found clear improvements in nutrition, dental care and management systems.

This was a focused inspection on 15 March 2022. The inspector checked whether the home had acted on recommendations from the previous inspection, which was rated Requires Improvement in November 2020. The inspector spoke with three residents, three care staff and managers, and reviewed care records, training records and audits.

The home had acted on all four previous recommendations. Weight loss was monitored properly, dental care had improved, and audits and action plans were clearer. People said they were happy, had choices, received enough food and drink, and could access healthcare.

The Effective and Well-led areas were rated Good. Infection prevention and control was checked, but Safe was not given a new rating. This was not a full inspection of every area, so some ratings came from the previous comprehensive inspection.

What inspectors praised

The report does not single out particular strengths.

What inspectors were concerned about

Inspectors raised no specific concerns in this report.

This explanation was written from the published report of 6 April 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.

An earlier report, explained

What inspectors found, November 2020

Primrose Villa Care Home is Rated Requires Improvement; inspectors found kind, choice-led care but weaknesses in weight monitoring, dental access and management checks.

This was a targeted inspection. Inspectors checked whether the home had acted on problems found at the previous inspection. They spoke with four residents and four care staff, reviewed six care records and examined training, supervision, audits and other management records.

The home was no longer breaching the regulations checked at this inspection. However, it still required improvement in the Effective and Well-led areas. Weight loss was not always assessed or recorded clearly, no residents were currently registered with a dentist, and some management checks and follow-up actions were not completed promptly.

Residents said they were happy, had choices and received enough food and drink. The overall rating remained Requires Improvement, as it had at the previous two inspections. The other key areas were not examined in this focused inspection, so their earlier ratings were carried forward.

What inspectors praised
  • Choice and consent

    Residents were involved in planning and reviewing their care. They were offered choices and their consent was sought before care or support began.

    “People told us they were happy with the care they received and were supported to make choices.” from the report
  • Food and drink

    Residents said they had enough to eat and drink and could choose their meals. They spoke positively about the food.

    “People told us they received enough to eat and drink, received a choice of meals and were complimentary about the standard of the food provided.” from the report
  • Healthcare access

    Residents could access GPs, district nurses and podiatrists, and professional advice was recorded in care files.

    “People had access to a range of medical and healthcare services, such as GP's, district nurses and podiatrists.” from the report
  • Residents' views

    The home held quarterly resident meetings and used questionnaires to seek views. Actions from meetings were recorded.

    “Resident meetings had been held quarterly in line with people's wishes, who had confirmed this timescale was suitable.” from the report
What inspectors were concerned about
  • Weight loss records

    needs fixing

    The home's monitoring tool was not used correctly. It was not always clear whether action had been taken when residents lost weight unexpectedly.

    “As a result it was not always clear whether action had been taken when people experienced unplanned weight loss.” from the report
  • Access to dentists

    needs fixing

    Residents had basic oral health information but no specific oral health care plans. No residents spoken with were currently registered with a dentist.

    “Nobody we spoke with was currently registered with a dentist, which the registered manager confirmed.” from the report
  • Management audits

    needs fixing

    Some audits were completed less often than intended, and actions identified by audits were not always addressed promptly.

    “We noted issues identified during the inspection had been picked up as part of their audit process; such as weight monitoring, although issues had not always been addressed in a timely manner.” from the report
  • Staff supervision

    minor

    Staff supervision was not always a genuine two-way discussion. Staff said they were asked to read and sign a form prepared by the manager.

    “Staff told us meetings consisted of being asked to read through a pre-prepared form completed by the registered manager and to sign it if they agreed with the content.” from the report
  • Team communication

    minor

    Staff gave different accounts of how often team meetings took place, and attendance had not been recorded.

    “Staff provided mixed feedback about the completion of team meetings and passing on of information.” from the report
Questions to ask them, based on this report
  1. 01How do you now assess and record unplanned weight loss, and when would you seek professional advice?
  2. 02Which dentist or dental service can residents use, and how are individual oral health care plans maintained?
  3. 03How often does the manager complete each audit, and how do you track that identified actions are completed on time?
  4. 04How are staff given a proper opportunity to discuss concerns and development needs during supervision?
  5. 05How often are team meetings held, and how do you record attendance and pass on important information?

This was a targeted inspection of Effective and Well-led, with infection prevention and control also considered; the other key question ratings were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 5 November 2020 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 Villa Care Home

6 rated inspections over 6 years: the service has improved, from Inadequate to Good.

  1. April 2022Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Primrose Villa Care Home →

  2. November 2020Requires improvementstayed Requires improvement
    Effective: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Primrose Villa Care Home →

  3. June 2019Requires improvementdown from Good
    Effective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. May 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. January 2017Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. July 2016Inadequate
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  7. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. December 2010

    Registered with the Care Quality Commission on 6 December 2010.

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

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Wigan

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 £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.

“Primrose is a very kind and compassionate healthcare professional”
Marion L., about Primrose N.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
John P., about Rodrigo Javier B.
See live-in carers near WiganProfiles, rates and reviews are free to look at.

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.