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Archived: The Rectory Care Home Good

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Reports


Inspection carried out on 21 January 2015

During an inspection looking at part of the service

This inspection was unannounced and took place on 21 January 2015.

The Rectory Care Home provides accommodation and personal care for up to 25 people. The home specialises in the care of people living with dementia.

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.

The registered manager had a clear vision for the home. They said their philosophy was “To create an environment that constantly topped up people’s wellbeing.” Staff told us about the culture of the home and this showed the registered managers’ philosophy had been communicated throughout the staff group. One member of staff said “It’s all about treating everyone as an individual and helping them to be as happy as possible.” Another member of staff said “I think the ethos is to create a happy place. I think we achieve that most of the time.”

The atmosphere in the home was very warm and welcoming. There was lots of friendly banter and laughter throughout the day. One person told us “I like it that we have lots of laughs.” Another person said “There’s always a bit of fun to be had.”

Care was responsive to people’s needs and personalised to their wishes and preferences. People were supported to make choices about all aspects of their day to day lives. People were able to choose what time they got up, when they went to bed and how they spent their day.

There were sufficient numbers of staff to meet people’s needs in a relaxed and unhurried manner. Staff spent the majority of their time socialising with people. One member of staff told us “We’re not task focussed. Everything is about the people. It’s made clear when you start work the residents and their happiness always come first.”

Risks to people living at the home were minimised because the provider checked all new staff thoroughly to make sure they had the right skills and were safe to work with vulnerable people.

People told us staff were kind and caring. One person said “Everyone is happy and nice.” Another person told us “I’m alright here. All the girls are lovely to me.” Staff showed patience and understanding when supporting people.

People took part in a range of organised and impromptu activities. People were also involved in small tasks around the home such as laying tables for lunch and simple cooking. People were able to access the local community and the home had formed links with local groups and schools.

People’s nutritional needs were assessed to make sure they received a diet in line with their needs and wishes. At lunch time people were able to choose where they ate their meal and were shown different meals to assist them to make a choice. People were able to eat their meals in an unhurried manner and were provided with discreet assistance when they required support.

Staff monitored people’s physical and mental wellbeing. Where there were concerns about a person, health care professionals were involved to make sure people received appropriate care and treatment.

Staff ensured people were happy to be assisted and were consenting to their care and treatment. Throughout our visit people were offered choices and were given time to respond to questions and suggestions. Staff explained what was happening and gave people opportunities to refuse offers of help or support.

The registered manager sought people’s feedback and took action to address issues raised. Relatives and professionals told us the home encouraged them to share any concerns and worries with them. One relative told us “I could definitely talk to the manager if I had any concerns.”

Inspection carried out on 14 January 2014

During a routine inspection

We were unable to speak with people in the home due to limited verbal communication, we therefore gathered evidence from speaking with staff, relatives and observing care. Relatives we spoke to told us that people who use the service were well looked after and were happy with the service provided. Relatives told us that staff always treated people respectfully and as individuals. One relative told us, "The Rectory is my wife's home and all the staff are her family".

Staff told us about the training they had received so that they would be able to recognise abuse and how to report it. Staff demonstrated that they were familiar with the systems in place to report abuse and also told us that they would be confident to report abuse.

Staff were suitably qualified, skilled and experienced. All the staff we spoke to were happy in their work, one member of staff told us "This is the happiest I have been in any job". The enthusiasm of the staff was reflected in the atmosphere of the home, creating a happy and relaxed environment.

The provider had systems in place to assess and monitor the quality of the service provision. These systems allowed for continuous improvement of the service provided.

Inspection carried out on 19 February 2013

During a routine inspection

Some of the people who lived at the home were unable to fully express their views because of their dementia. We therefore spent time talking with staff and observing care practices as well as talking to people who used the service. We were also able to meet with five visitors.

We observed that staff spoke with people in a friendly and polite manner. People told us that staff were always polite and respectful.

People said that they were able to make choices about their day to day lives. One person said �I pretty much do as I like.�

We saw that anyone who wished to move into the home had their needs assessed before a place was offered. This ensured that the home had the skills and facilities to meet each person�s individual needs. From the initial assessment a care plan was written which demonstrated how needs would be met. Care plans that we looked at were personal to the individual and gave clear information for staff to follow. This made sure that people received care and support which meet their individual needs.

There were suitable safe storage facilities for medication including storage for medication which required refrigeration.

Throughout the day we saw that staff were competent and cheerful. There was a very relaxed atmosphere and everyone had opportunities to take part in activities according to their abilities and interests.

The home kept a log of all complaints and concerns raised. We read the log and saw that all concerns were responded to.

Inspection carried out on 13 December 2011

During a routine inspection

The Rectory specialises in the care of people who have a dementia meaning that many people were unable to fully express their views on the care that they received.

People who were able to express an opinion were happy with their care. One person said �I�m well looked after, they�ll do anything for you� another person said �They look after you well.�

We noted that people living at the home were clean and well presented demonstrating that staff took time to support people with personal care and dressing.

We observed that people received the care and support they required. For example when one person began to express signs of anxiety staff responded quickly to offer appropriate reassurance.

We saw that staff were kind and polite in their interactions with people and did not presume consent. We observed that staff consulted with people and explained what they were doing when they assisted people. One person told us �You get choices about things.�

During our visit we were able to speak with two visiting relatives. Both praised the care that their relative had received at the home. They said that staff had provided excellent care and sought advice and support from other professionals where needed. Both said that they had felt very involved in all aspects of their relatives care and daily life.

People living at the home appeared very comfortable and relaxed with the staff who supported them. One person said �Everything is very safe here.�

Staff interacted with people in a polite and friendly manner. Throughout the day we observed staff checking with people that they were comfortable.

There was a very relaxed atmosphere in the home and staff did not rush people when assisting them.

Reports under our old system of regulation (including those from before CQC was created)