This inspection took place on 19 February 2015 and was unannounced.
Primrose House Nursing Home is part of HC-One Limited. They are registered to provide accommodation, nursing care and support for people who require help with their daily lives, particularly for people who may be living with dementia. The single storey building can accommodate up to 42 people. The home is located in the village of Haslington and is close to shops and other local amenities.
Primrose House Nursing Home has a registered manager who has been managing the home for over three years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last inspection in December 2013 the service was meeting most of the regulations inspected. However we asked the provider to take action to make improvements in respect of how people were able to consent to care and treatment. Following the inspection the registered manager sent us an action plan explaining how consent to care would be met and by when.
During this inspection we found that all of the issues had been addressed.
People living at the home, relatives and staff were very positive about the home especially about the activities on offer and the management of the service.
We observed how staff spoke and interacted with people and found that they were supported with dignity and respect.
We found the staff had a good understanding of peoples care and support needs and we found care plans to be detailed and focused on the individual person. Staff had a good understanding and knowledge of each person’s preferences and people’s individual care needs. Staff also understood how to support people if they lacked capacity to include the requirements of the Deprivation of Liberty Safeguards
We noted the service had a complaints procedure, details of which were displayed in the foyer of the premises and people said they were confident that they could raise their opinions and discuss any issues with the registered manager or any staff member who was available.
Primrose House had robust recruitment policies and procedures in place to ensure staff were suitable to work with vulnerable people. This included standardised application forms, the provision of written references and a structured interview process being undertaken to enable the management of the home to have adequate information before employing staff.
Staff were provided with three monthly structured supervision sessions and regular updated training and development courses to assist them to build on their knowledge and skills.
The provider had systems in place to monitor and review the standards of the services provided at Primrose House. These included a self -assessment tool that looked at the safety, management, residents well -being, environment and nutrition.