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Inspection Summary


Overall summary & rating

Good

Updated 18 September 2019

About the service

Primrose Villa is a care home in a large Victorian house set over three floors. Communal areas include a living/dining area and separate lounge, a kitchen area and enclosed garden. All bedrooms are located on the first and second floors, including a staff sleep-in room.

The service provides personal care and accommodation for up to seven people who have learning disabilities and additional needs. Seven people were receiving support at the time of our inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People liked living at Primrose Villa. Staff provided kind and caring support and treated people with dignity and respect.

People were safe and protected from avoidable harm. Risks were monitored and addressed, and the environment met people’s needs. We made a recommendation about reviewing the information kept by the service.

People were supported by enough staff. Staff were safely recruited and well supported. Staff usually received training, supervision and appraisals. Some staff had not had supervision as frequently as the provider required, but a plan was in place to address this.

People's medicines were administered and managed safely by staff. Staff received training and the provider regularly checked staff’s competency in the management of medicines.

People accessed routine and specialist healthcare services as required and were supported to eat and drink enough to remain healthy. Staff understood how to meet people’s specific dietary needs, such as diabetes.

People received individualised support and were treated with dignity and respect. Care plans were personalised and helped identify what was important to people. People were involved in decision making and reviewing their support needs where possible.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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 outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support usually focused on them having opportunities to gain new skills and become more independent.

People were supported to maintain social relationships and participate in a range of activities. A plan was in place to develop activities further.

Staff felt supported by the management team and governance systems were in place to ensure high quality care was provided. Audits were carried out regularly to review quality and performance. Action plans enabled the provider to monitor changes and improve care for people.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand

Inspection areas

Safe

Good

Updated 18 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 September 2019

The service was well-led.

Details are in our well-Led findings below.