27 June 2022
During a routine inspection
Primley Court is a large service located over two sites, providing nursing care for up to 80 people. Primley Court (New Wing and Old Wing) can accommodate and provide nursing and personal care for up to 51 people. A neighbouring building called The View is also part of Primley Court. This building is further up the road, it is not attached to Primley Court and provides nursing care for up to 29 people. There were 44 people living at Primley Court and 25 people living at The View at the time of the inspection.
The service provides care for older people, many who have complex health needs and are living with dementia or a cognitive impairment. Some people required a high level of staff supervision (one to one care) and support to promote their independence and safety.
People’s experience of using this service and what we found
People received care and support specific to their individual needs, choices and preferences. Staff were skilled and knowledgeable about people’s physical and mental health needs and were aware of people’s life histories and things that were important to them.
People’s risks were known and well managed and there were sufficient numbers of experienced staff available to meet people’s needs. People received their medicines as prescribed although, improvement was required in relation to recordings.
Staff were able to explain people’s individual needs and how they should be met. Care records were in the process of being transferred across to an electronic system and information was being updated to reflect people’s current needs.
People were cared for by staff who treated them with dignity, respect and compassion. Staff were exceptionally kind and caring ensuring people’s emotional needs were met which enhanced people’s well-being.
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 was led by a registered manager who was passionate and committed to their role and who empowered their team to continually improve the quality of care people received. The registered manager was an integral part of different initiatives to improve and develop care practice.
Significant investment in developing and training staff had resulted in good outcomes for people, particularly those who were living with dementia. People had access to a wide range of different activities which were person-centred and held either in groups or individually.
The premises were undergoing refurbishment and consideration had been given to people’s varying needs. The service had created an environment that supported people living with complex health conditions or people living with dementia or behaviours that may at times challenge.
The service was well-managed. There was a culture of continued learning, development and improvement in order to achieve good outcomes for people. Everyone felt supported by the management team and the registered manager had a good oversight of the service. The provider had systems in place to monitor and continually improve the service. The Registered manager and staff team worked collaboratively with external agencies to continually improve care practice and delivery. Clear communication processes were in place and good practice was shared.
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 21 August 2018).
Why we inspected
We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Primley Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.