Primrose Bank Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed using a range of formal assessment tools, these were reviewed regularly to identify if people’s needs had changed. People’s communication methods were documented within care plans to enable effective communication.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People and relatives told us they were involved in their care planning. Comments we received included, “When I first came in here, we set it up. It is reviewed every so often” and “we sat down and put a care plan in place when [family member] first came in. As things have changed, we have changed [family members] care plan. Occasionally we will have a chat about it.”

People were supported by appropriate health professionals if the need arose. We saw district nurses visited to provide support, and documentation showed advice was sought from doctors, falls teams and dieticians. Staff we spoke with were able to describe the needs of the people they supported, and the help they required.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The provider shared information with other health and social care professionals to support care planning and delivery. Records of agreed actions and treatment plans were documented to help enable consistency of care. The service had regular ‘ward rounds.’ This was a meeting held with a team of health professionals to review people’s needs. The registered manager provided information to health professionals in advance of the ward rounds to support their knowledge of the person and their needs.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People told us they were supported to seek further medical advice if this was required. One person shared, “Last week they got a doctor, and nurse, to come and see me because a member of staff noticed I had a rash on my forehead. The doctor comes in quite regularly to see me.” A family member shared their family members mobility had improved due to the support from the home. They commented, “[Family member] struggled to walk to the toilet at home but now [Family member] can get about better. [Family members] mobility has come on leaps and bounds since coming in here.”

Documentation showed expert advice was sought if this was needed and included in individual care plans.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. For example, one person had been supported to understand their individual dietary needs and as a result, their clinical observations had improved. People’s weight and skin integrity was monitored at a frequency that met their assessed needs, and information was shared with health professionals when this was appropriate.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us their wishes were respected. One person shared they had seen a doctor and had declined treatment; they said their wishes had been respected.

We observed staff seeking consent from people before care was delivered. Mental capacity assessments were completed if these were required, and we saw evidence that best interest decisions were made with the involvement of other relevant persons if this was needed.