Archived: Primary Health Team Ltd Southwest

Updated 22 February 2024

Date of assessment 19 March 2024 to 16 April 2024.

This was a responsive assessment to review concerns found at our May 2023 inspection and to assess the impact of improvements the provider told us they had made. This meant we required an up-to-date picture of the service and check people were safe.

The service is now closed following our enforcement action concluding.

Medicines were still not being managed safely. Recruitment was still not following current regulations. Staff still had not received enough training to keep people safe and meet their needs. Risks were not always identified, and when they were, the actions to mitigate them were limited. Guidance for staff on how to manage risks were not in place. Systems were still not effective to manage the service and keep people safe. The provider was still not following current best practice, guidance and legislation. Notifications to the Care Quality Commission about specific incidents and accidents were still not being made in line with national legislation.

However, the service had made limited improvements to specific training and processes including safeguarding. Recruitment issues which had been previously identified by external parties had been resolved. Relatives were positive about the support and care shown by staff. One health professional felt they had a good relationship with the member of staff working with a person.

We found 5 breaches of regulation in safe care and treatment, good governance, staffing, fit and proper persons employed and notifications of other incidents.

Updated 22 February 2024

Relatives were unclear about what safe medicines management looked like. One relative commented, “To my knowledge there has not been a second staff member observing in the home.” Not all relatives had regular contact with the registered manager. One relative said, “Met the [registered manager] at the beginning…Not seen recently.”

However, relatives were positive about the care staff provided for their family members. They explained staff were flexible, and the service was to meet the needs of their family members. One relative stated, “They have been very reliable and provided extra cover when it was needed.”

All relatives stated they felt their family members were safe. One relative said, “I am more than happy with them. A good [staff member] to have coming into the home.” They continued to explain, when their relative had a fall, it was reported to the local authority by the registered manager and all concerns were raised to them.