Primrose House

Inspectors found enough staff to meet people's needs and saw that new staff were recruited safely. Use of agency nursing staff had reduced.

“There were sufficient staff on duty to meet people's needs.” from the report

Care plans had become more personalised and included people's preferences and abilities. They were reviewed when people's needs changed.

“Care plans had been reviewed and updated so they contained more person-centred information.” from the report

People had more opportunities to take part in activities and maintain relationships. Staff supported people to make everyday choices.

“People had more opportunities to maintain relationships and participate in activities.” from the report

The home was clean and inspectors were assured that infection prevention systems were being followed, including the use of protective equipment.

“We were assured that the provider was using PPE effectively and safely.” from the report

Records did not always show that topical medicines had been applied as prescribed. The provider started taking action during the inspection, but inspectors could not yet assess whether the changes were working.

“The failure to maintain accurate and contemporaneous medicines records was a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

Records suggested that untrained staff sometimes recorded PEG procedures carried out by trained staff. Records should be completed and signed by the person who provided the care.

“Information provided to us post inspection demonstrated that this was a regular process undertaken in the service whereby untrained members of staff sometimes completed records for trained staff.” from the report

Some health and safety and medicines audits did not identify problems or make sure improvements were sustained. Reviews of incidents, safeguarding concerns and complaints needed more detailed analysis.

“Although there was some reflection evident, this lacked depth and questioning of findings to ensure lessons were learnt.” from the report

Many interactions were kind and respectful, but inspectors found this was not consistent throughout the home, particularly in one area.

“However, this was not consistent throughout the home and could be improved.” from the report

The home was suitable for people's needs, but inspectors said redecoration and further changes to make it more dementia friendly were still required.

“Although the home was suitable for the needs of the people living there, redecoration was still required and further enhancements to make the home more dementia friendly.” from the report