The Old Vicarage Residential Home

Updated 15 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. his was a comprehensive inspection.

The inspection took place on 30 April and 1 May 2018 and was unannounced. It was completed by one adult social care inspector.

Before the inspection visit we reviewed all the information we held about the home since the last inspection in January 2016. This included all statutory notifications and the Provider Information Return (PIR). Statutory notifications must, by law, be sent to us by the provider. These inform us of important and significant events which have happened in the home. We used information the provider sent us in the PIR to help plan the inspection. This is information we require providers to send us at least once annually, to give us some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with four people who used the service and eight relatives. We looked at five personnel files, organisational records, staff rotas and other records relating to the management of the service. We reviewed the care records of four people. These included information collected about their life history, support plans, risk assessments and other care and treatment related information. We also spoke with the registered and area manager, five members of care staff and a Director of the registered provider. We sought the views of commissioners of the service and three health care professionals.

Updated 15 June 2018

This inspection was completed on 30 April and 1 May 2108 and was unannounced.

The Old Vicarage Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Old Vicarage accommodates up to 37 people in one adapted building. There were 33 people at The Old Vicarage at the time of the inspection.

The previous inspection was completed in July 2015 and the service was rated Good overall. We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The service had not protected people against the risk of unsafe or inappropriate care arising from a lack of proper information about them. At this inspection we found improvements had been made and the provider met the requirement of this regulation. At this inspection the service remained Good.

Risk assessments were updated to ensure people were supported in a safe manner and risks were minimised. Where people had suffered an accident, action had been taken to ensure the on-going safety of the person.

Staff had received training appropriate to their role. Staff had received training around safeguarding and was confident to raise any concerns relating to potential abuse or neglect. The administration and management of medicines was safe. There were sufficient numbers of staff working at the Old Vicarage. There was a robust recruitment process to ensure suitable staff were recruited.

People were supported to access health professionals when required. They could choose what they liked to eat and drink and were supported on a regular basis to participate in meaningful activities. People were supported in an individualised way that encouraged them to be as independent as possible.

People and their relatives were positive about the care and support they received. They told us staff were caring and kind and they felt safe living in the home. We observed staff supporting people in a caring and patient way. Staff knew people they supported well and were able to describe what they like to do and how they liked to be supported.

The service was responsive to people’s needs. Care plans were person centred to guide staff to provide consistent, high quality care and support. Daily records were detailed and provided evidence of person centred care.

The service was well led. Quality assurance checks were in place and identified actions to improve the service. Staff and relatives spoke positively about the management team.

Further information is in the detailed findings below.