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.