CQC report explained · a residential care home, run by Primroses Care
Primroses Home
95 Primrose Avenue, Romford, RM6 4PS
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, September 2023
Requires Improvement; inspectors found kind, person-centred care but medicines checks and management systems were not reliable enough.
This was a planned, focused inspection on 9 August 2023. Two inspectors reviewed care and medicines records, staff files, management records and infection control arrangements. They spoke with staff and a relative, and observed care.
The main concern was medicines. Two people had medicines to take when needed, but there was no written guidance explaining when to give them or how much to give. The home’s medicines policy was not being followed.
Inspectors also found that quality checks had not identified these medicines problems. They did find enough staff, safe recruitment, suitable risk assessments, good infection control and care that respected people’s choices, dignity and independence.
The overall rating changed from Good at the previous inspection to Requires Improvement. Safe and Well-led were both rated Requires Improvement. The other three areas were not inspected at this visit, so their previous ratings were carried forward.
Person-centred support
People were supported to make choices, remain as independent as possible and receive care based on their preferences.
“People were supported to have maximum choice and control of their lives” from the report
Staffing and recruitment
Inspectors found enough staff with the right skills and experience. Recruitment checks, including DBS checks, were carried out.
“There were sufficient staff available with the right skills and experience to meet the individual needs of people who used the service.” from the report
Infection control
The home was clean and hygienic, with infection control audits and an enhanced cleaning programme.
“The home had effective infection, prevention and control measures to keep people safe” from the report
Positive culture
Inspectors found staff and managers were supportive and understood people’s individual needs.
“The registered manager and staff promoted a positive culture in the home.” from the report
Medicines guidance
seriousTwo people’s when-needed medicines did not have clear written instructions. This meant staff might not know when to give the medicine or the correct amount.
“This meant staff did not have the information to tell them when someone may need the medicine or how much to give” from the report
Quality checks
needs fixingThe home’s audits did not identify the medicines problems, and records of what had been checked were not routinely kept. Inspectors recommended following best practice for quality assurance.
“Quality assurance systems were not sufficiently robust to identify all concerns.” from the report
- 01What written instructions are now in place for each person’s when-needed medicine?
- 02How do you check that staff follow the medicines policy and record each audit?
- 03What evidence can you show that the medicines improvements reported after the inspection have been maintained?
- 04How will you identify and act on any future medicines or quality problems?
- 05What support is available to help people make choices and remain independent?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection published on 25 July 2018. This explanation was written from the published report of 16 September 2023 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 Primroses Home
2 rated inspections over 5 years: the service has slipped, from Good to Requires improvement.
- September 2023Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2018GoodSafe: GoodWell-led: Good
- October 2017
Registered with the Care Quality Commission on 10 October 2017.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
Or stay at home with a private carer
Many people who look at care homes end up staying at home with a carer who comes in for a few hours a day, or lives in. PrimeCarers introduces you to self-employed carers you choose yourself: interviewed, ID and DBS checked, from about £20 an hour or £1,120 a week live-in.
Other services run by Primroses Care Limited
2 other services on the CQC register. A pattern across a group tells you more than one report.