Primrose Lodge Care Home

“The assessment was triggered to follow up on warning notices issued the previous inspection. The assessment commenced on 18 June 2025 and concluded on 30 June 2025. The provider was previously in breach of the legal regulation in relation to medicines management and governance of the service. Improvements were found at this assessment and the provider was no longer in breach of these regulations.”

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“At this inspection the provider was in breach of the legal regulation person-centred care relating to the provision of activities in line with people’s needs and preferences.”

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“We gathered information from people who used the service, relatives, the registered manager, care staff and health and social care partners.”

“Staff knew people well and had built up a good rapport with people. There was mixed feedback about whether people and relatives were involved in care planning. The activities provision was limited, which was impacting people negatively. Medicines were managed safely, although some aspects of record keeping needed improvement.”

“Visiting professionals gave positive feedback about staff and management.Staff gave mixed feedback about the support they received from the management team. Care plans, risk assessments and consent documentation were in place and were person-centred. Care pathways, assessments and transitions were managed well. People felt safe at the service.”

“Most governance systems in place were robust, the service had an action plan in place for several improvements they had identified. However, the investigation of incidents was not always carried out in line with the service’s procedures.”