Primrose Villa Care Home

Updated 6 April 2022

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 Health and Social Care Act 2008.

This was a targeted inspection to check whether the provider had followed the recommendations made at the last inspection.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Primrose Villa is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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

We gave notice of the inspection due to the Covid-19 pandemic to ensure we had prior information to promote safety. We contacted the home on the afternoon of the 8 March, with the intention of inspecting the following morning. However, due to an outbreak of diarrhoea and vomiting, the home was closed to visitors until 14 March 2022. As a result, we agreed to only visit once the home had re-opened. We visited Primrose Villa on 15 March 2022.

What we did before the inspection

Prior to the inspection we reviewed information and evidence we already held about the home, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. We also asked for 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We sought the views of three people living at the home about the care and support they received. We also spoke with three care staff, the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records relating to the effective and well-led key questions. This included four people’s care records, training and supervision records, audit and governance information.

After the inspection

We requested additional information from the registered manager. This included copies of the service user guide, statement of purpose and further details about training and partnership working.

Updated 6 April 2022

About the service

Primrose Villa Care Home ls located in the Standish area of Wigan and provides personal care and support for up to 15 people in one adapted building. Accommodation is across two floors with all communal areas located on the ground floor.

People’s experience of using this service and what we found

People told us they were happy living at Primrose Villa, were offered choices and involved in making decisions about the care. 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. People were happy with the food provided and said they got enough to eat and drink. People’s weight was monitored consistently, with clear actions taken when unplanned weight loss noted. People had access to a GP or other medical professionals as required, including a dental hygienist who completed visits to the home.

The home used a range of audits and monitoring tools to assess the quality and safety of the environment and care provided, with action plans generated and addressed timely. People’s views were sought through regular meetings and surveys. Staff felt supported in their roles and told us the change in management had had a positive impact on the home and care provided.

We found the home to be clean, with effective cleaning and infection control processes in place.

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 requires improvement (published November 2020). At our last inspection we recommended the provider used nutritional monitoring tools in line with guidance, reviewed the system for documenting weight loss and action taken, explored dental options for people and reviewed the home’s audit process and schedule. At this inspection we found the provider had acted on each recommendation and made noticeable improvements.

Why we inspected

This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to check the provider had addressed the recommendations made at the last inspection. This report only covers our findings in relation to the Key Questions Effective and Well-Led which contained the previous recommendations.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service is good. This is based on the findings at this inspection.

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 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 Primrose Villa Care Home 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.