Primecare provides personal care and accommodation for up to 41 older people. On the day of our inspection there were 39 people using the service. At the last inspection, the service was rated good. At this inspection we found the service remained good.

The registered manager was present during our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

There were enough staff to meet the needs of people who used the service. People were supported to have maximum choice and control over their lives and staff cared for people in the least restrictive way possible.

Staff understood how to keep people safe and could describe the correct steps they would take if they were concerned that abuse had taken place. Accidents and incidents were appropriately recorded and investigated and risk assessments were in place for people who used the service.

The registered manager and staff involved people to make decisions about the service. People told us that staff understood their needs and preferences, and they received effective care and support from well-trained staff.

Staff had developed caring relationships with the people they supported. Family members told us that there was a positive atmosphere and people were encouraged to take part in activities that they wanted to pursue. A wide range of activities were on offer to people.

Medicines were managed safely and staff members understood their responsibilities. The registered manager undertook regular audits and improvements were carried out when these were needed. The quality of the service was monitored and assessed continuously.

People who used the service, family members, and visitors were encouraged to make comments, complaints, or compliments about the service. Further information is in the detailed findings below.

We inspected Primecare Nursing Home on the 16 and 17 February. The inspection was unannounced.

The service is purpose built and set over two floors. It provides personal and nursing care for up to 42 older people at the time of our inspection 38 people were using the service. Some people may be living with dementia. The service also provides end of life palliative care.

There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were meet due to staff having up to date information. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

The service worked well with other professionals to ensure that people's health needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including a doctor, district nurse and physiotherapist.

People were safeguarded from the potential of harm and their freedoms protected. Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager was up-to-date with recent changes to the law regarding DoLS and knew how to make a referral if required.

Staff were attentive to people's needs. Staff were able to demonstrate that they knew people well. Staff treated people with dignity and respect.

People were provided with the opportunity to participate in activities which interested them. These activities were diverse to meet people’s social needs. People knew how to make a complaint; complaints had been resolved efficiently and quickly.

The service had a number of ways of gathering people’s views including talking with people, staff, and relatives. The manager carried out a number of quality monitoring audits to help ensure the service was running effectively and to make improvements.