We inspected The Old Vicarage Residential - Nursing and Dementia Care Home on 23 June 2015. The home provides residential and nursing care for people with a range of conditions, including people living with dementia. The service provides accommodation for up to 52 people. At the time of our visit there were 46 people living in the home.
At our last inspection on 9 July 2013 we found the provider was meeting all the standards inspected at that time.
There was 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 2008and associated Regulations about how the service is run.
People enjoyed living in the home and were complimentary about the registered manager and staff team. Staff were kind and caring and took time to get to know people. There was a cheerful atmosphere and we saw people laughing and enjoying interactions with staff.
Relatives and visitors spoke highly of the end of life care provided in the home and the effort all staff made to ensure the person, their relatives and representatives were supported and cared for. The home was accredited to the Gold Standards Framework.
Staff were well supported and were positive about the management team. There was an inclusive culture in the home where people, their relatives and staff worked in partnership to provide good care.
The registered manager involved outside agencies to help improve the care of people living with dementia. Relatives and staff were positive about improvements in care provided as a result.
People's needs were assessed and where there were risks these were assessed and managed. Some people's care plans did not always contain clear information in relation to how risks would be managed. Systems in place to monitor medicines were not always effective.
The registered manager had introduced effective ways to improve communication in the home and had systems in place to monitor and improve the quality of the service.