Background to this inspection
Updated
16 October 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Primrose Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service 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 the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. 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. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and two relatives about their experience of care provided. We spoke with six members of staff including the registered manager, deputy manager and three care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and medicine records. We looked at five staff files in relation to recruitment and three for staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
16 October 2019
About the service
Primrose Road is a residential care home providing personal care to six adults with a learning disability in one adapted building.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People who could communicate told us they felt safe at the service.
People had appropriate risk assessments to reduce their risk of harm in the service and out in the community.
Care workers understood their safeguarding responsibilities and told us they would report any concern or poor practice to the registered manager. Care workers also advised they would blow the whistle if their concerns were not being taken seriously.
There were enough care workers to support people at the service. People were supported by care workers who had been recruited safely and people were involved in the recruitment process.
The service was clean and care workers followed good infection control practices to minimise the risk of infection.
Care workers received the skills and knowledge through regular training and support from the provider. People and their relatives told us staff were good at their jobs and knew how to provide effective care.
People were able to choose what they wanted to eat and drink at the service and people who needed support to eat meals received this from care workers.
People and their relatives told us care workers were kind and patient and care workers did not discriminate against people at the service. People’s privacy and dignity was respected at the service.
Care plans were personalised and stated people’s preferences and communication needs. People were supported to engage in activities of their choice, attend places of worship and to spend time with people important to them.
People, relatives and care workers spoke positively about the management of the service.
The service actively sought feedback from all involved in people’s care and used this to improve the service. Quality assurance systems were effective to check people were receiving care that was of high quality.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection- The last rating for this service was good (published 24 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.