Primrose Lodge 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 requires improvement. At this assessment the rating has changed to 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.

Initial care needs assessments were robust and person-centred. When people’s needs changed the service adapted the care they provided. Some relatives had been involved in the care planning process and some said they had not. A relative said, “Yes, he has a (care) plan. I have power of attorney and my views were shared on face time. [The care home] was involved when he went there and he was assessed. It’s been reviewed on the phone and I was asked if I’m happy. There were no changes.”

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.

Care records were person-centred. Where people were not able to share their preferences themselves, family or advocates and other health and social care professionals were included in decisions. Records showed that people were receiving care in line with their assessments.

The provider worked well across teams and services to support people. Staff worked well together to give people positive effective care.

Staff said management were approachable. One staff member said, “The manager is great, you can go to them with any concerns. They sort it and we are one big team.” Other staff said issues they raised were not always dealt with quickly. We observed staff working well as a team to support each other with tasks and to ensure people received care from the most appropriate staff members.

Some healthcare partners thought teamwork across the healthcare system could be improved. Particularly around the availability of the registered manager due to the scope of their management duties.

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.

There was mixed feedback from people about the quality of food provided particularly around fresh fruit. However, we observed people being offered fresh fruit during the inspection. The registered manager shared plans for a new menu which was being developed. It included a wider variety of fruit and vegetables. We observed a group activity where people were encouraged to keep active a move different parts of their body.

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.

Records showed that people and their advocates were asked for feedback regularly. Care records were regularly reviewed to monitor changes in people’s health. Risk assessments and care plans were updated when people’s needs changed.

People were supported to have maximum choice and control over their lives. Staff supported them in the least restrictive way possible and in their best interests. Staff demonstrated a clear understanding of the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. Staff had received training regarding the MCA and policies were in line with the principles of the MCA. People told us staff asked for permission before carrying out care.