Primrose Villa

Updated 3 August 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one Inspector.

Service and service type

Primrose Villa is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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 Care Quality Commission. This means that they 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.

What we did before inspection

Before the inspection we reviewed all of the information available to us, including any information of concern, notifications and the PIR. 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.

During the inspection

We made observations of people and how they expressed themselves. People were able to verbally communicate their care needs. We spoke with the six people who lived at the home. We spoke with three members of staff and the registered manager. We looked at range a of records. This included people’s care records, maintenance records and medicine records. We looked at a variety of records relating to the management of the home which included audits.

After the inspection

We continued to review the information we received from the inspection to help us make judgements about the home.

Updated 3 August 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Primrose Villa is a residential care home providing personal care for up to seven people. At the time of the inspection six people were living at the home.

People’s experience of using this service and what we found

Based on our review of the key questions safe and well-led, the home was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

The model of care and setting maximised people's choice, control and independence. The home had good access to the local community and amenities. 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 service supported this practice.

Staff focused on people's strengths and encouraged them in their individual interests. We observed one person enjoying a makeup and hair session with staff. Another person liked to use the homes exercise equipment which included a running machine. Another person told us they liked to go out for meals and take part in social events which were run by another organisation.

People were supported by enough staff on duty. People received their medicines in a safe way. People were protected from abuse and neglect. People's care records and risk assessments were clear and up to date.

Right Care

Staff knew people well and demonstrated an understanding of people's individual care, behavioural and communication needs. This helped ensure people people's views were heard and their diverse needs met.

People could communicate with staff. Staff understood their individual communication needs and were consistent in their approach and response. People’s care plans informed staff of any specific ways to best communicate with people.

The core staff team had the appropriate levels of knowledge and skills to support people and responded to their individual needs and choices. Staff promoted people's dignity and treated them respectfully. They understood people's needs and provided security and encouragement.

Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.

Right Culture

The staff at Primrose Villa were committed to ensuring people were leading the lives they wanted. Staff created an environment that inspired people to understand and achieve their goals and ambitions.

People received care which was inclusive and directed by them. Staff knew and understood people well and put their needs at the heart of the support they provided. Staff ensured people were involved in their care plans and that they promoted people's right to independence and choice.

Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk