Latest Inspection
This is the latest available inspection report for this service, carried out on 16th October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Primrose House.
Annual service review
Name of Service: Primrose House The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Lesley Garrett Date of this annual service review: 1 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Primrose House Perry Hill Worplesdon Guildford Surrey GU3 3RF 01483232628 Telephone number: Fax number: Email address: Provider web address:
primrose.house@ntlworld.com Name of registered provider(s): Name of registered manager (if applicable) Mr Nasar Khan Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Mrs Anne-Marie Antoinette Beeharry,Mr Ahmad Issac Beeharry Number of places (if applicable): Under 65 Over 65 16 0 0 16 The maximum number of service users to be accommodated is 16 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories; Old age, not falling within any other category (OP) Dementia (DE) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: A new manager was recruited and then registered with us in February 2009. Date of last key inspection: Date of last annual service review (if applicable):
Annual Service Review Page 2 of 6 Brief description of the service Primrose House is a large house in Worplesden on the main road to Guildford. The home is close to a pub and the village hall. Public transport provides links to Guildford. The home is registered for sixteen older people, some of whom have mental health needs. There is a large garden to the rear of the house and parking facilities are available at the front. The home operates a person-centred approach to care to ensure individual diversity needs are addressed. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and contained the information that had been requested. We looked at the information in the AQAA and our judgement is that the home is still providing a good service. We spoke with the registered manager who told us that since he has been in post he has met the requirements that were made at the last key inspection. He is in the process of recruiting new staff so that will bring the home up to their full numbers for the size and layout of the home. The AQAA advised that all prospective people wishing to use the service benefit from a full pre-admission assessment. People are encouraged to stay for the day for a trial where they can chat with other people using the service and their relatives. This enables them to gain an insight into the home. We were also told that each person using the service has a care plan which is reviewed and updated regularly. The organisation has implemented a person centred approach to care planning and people who use the service, relatives and health professionals are all involved in the process. The AQAA advised that activities take place at least twice a day for a minimum of two Annual Service Review Page 4 of 6 hours. Other people visit the home for social interaction. The manager states in the AQAA that because the home is small the staff are able to be flexible and informal to suit the needs of the people who use the service. The people who use the service are actively involved in the planning of menus for the home and suggestions and requests are noted and acted upon. The manager advised us that during the last twelve months they have not received any complaints or referrals to the safeguarding adults team. We sent surveys to the home and received completed forms from people who use the service and staff members. All replies from the people who use the service were complimentary about the standard of care they received. However one person told us that the home need more night staff and for them to be more attentive. We discussed with the manager night staff arrangements who stated that at present they have one waking member of staff and one who sleeps in and is therefore available if needed. Staff that completed the survey told us that they had all of the necessary checks prior to commencing their employment which included a CRB and references. More that one member of staff stated that more training should be provided for the staff. It was also said that there should be more variety of activities provided for the people using the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 30th September 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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