29 September 2020
During an inspection looking at part of the service
Primrose Neurological Centre is a residential care home for adults who have experienced a brain injury or have a neurological condition, which may include associated complex needs. The service can support up to 7 people in one adapted building. At the time of the inspection 4 people were living at the service.
People’s experience of using this service and what we found
Medicines were managed safely. Records reflected the help people need and audits identified when improvements were required. Recruitment procedures were followed to ensure staff were suitable to work with people who may be vulnerable. People were supported by staff who responded to their needs quickly.
People said they were happy at the service and they liked the staff. People were cared for in a clean environment by staff who were caring, competent and keen to improve the service provided. Risk assessments were carried out and staff could explain the reason for the assessments and how they followed them to help keep people safe.
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. People’s rights were upheld, and people received health professional advice when this was needed. The manager and staff worked with other agencies to improve the service provided.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update. The last rating for this service was requires improvement (published 27 August 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service in July 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve in the areas of safe care and treatment, person – centred care, staffing and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective and well-led which contain those requirements.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. Therefore, the overall rating for the service has not changed.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Primrose Neurological Centre on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.