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Inspection Summary


Overall summary & rating

Outstanding

Updated 24 April 2019

The Old Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide accommodation for up to 20 older people and people living with dementia. There were 20 people living in the home at the time of our inspection. The registered provider also offers day care support in the same building as the care home although this type of service is not regulated by CQC.

We inspected the home in the period 29 January to 5 February 2019. The first day of our inspection was unannounced.

At our last inspection we rated the home as Outstanding in four of the five key questions and overall. At this inspection we were pleased to find the registered provider had made many further improvements in pursuit of an ever more safe, effective, caring, responsive and well-led service. As a result, the home is now rated Outstanding in all five key questions and overall.

People were at the very heart of the service and everyone with we spoke with told us of the exceptional kindness they had experienced at The Old Hall, and how good this made them feel. One person said, “I have been here for four years now and have never regretted it. You feel as though you are not only cared for but really loved. I want to spend the rest of my days here as I couldn’t wish for anything more.” Staff promoted people’s right to make choices in every aspect of their lives and actively supported them to maintain their independence for as long as possible. People were treated with the utmost dignity and respect and end of life care was provided in an exceptionally person-centred and compassionate way.

There was a registered manager in post. A registered manager is a person who has registered with CQC to manage the service. Like registered providers (the ‘provider’) 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 was deeply involved in all aspects of the running of the home and provided her team with principled, person-centred leadership. She had created an exceptionally open and positive organisational culture and staff worked closely together, internally and externally, to provide people with highly personalised care and support. The registered manager gave a very high priority to the learning and development of both herself and her team. As a result, staff had all the skills and knowledge necessary to meet people’s individual needs and expectations. The provider had a highly selective approach to recruitment to ensure new staff were suitable to work in the home.

Under the registered manager’s research-led leadership a number of innovative changes had been made, all of which had proved extremely effective in maintaining and improving people’s physical and mental health. These included establishing a new team of well-being therapists; the introduction of Lady – an affectionate Cavalier King James Spaniel; the ongoing development of an internal ‘token economy’ and the creation of the Welcome Bar.

The provider had a meticulous and exceptionally person-centred approach to assessing and reviewing people’s individual needs and preferences. Staff had a deep and holistic understanding of each person living in the home, derived in part from the strong relationships they had forged with people’s relatives. People were actively involved in many aspects of the running of the home and had the opportunity to participate in a rich variety of one-to-one and communal activities and to maintain personal interests and hobbies.

The provider placed a very high emphasis on ensuring people were properly nourished and hydrated. People were completely satisfied with ev

Inspection areas

Safe

Outstanding

Updated 24 April 2019

The service was very safe.

The provider's significant investment in additional staffing resources meant people's physical and emotional needs were met in a truly holistic way.

Individual risk assessments were regularly reviewed and updated personally by the registered manager.

A highly selective approach to recruitment ensured new staff were suitable to work in the home.

A sophisticated system was used to promote organisational learning from any significant incidents.

Systems were in place to ensure the effective prevention and control of infection.

People's medicines were managed safely.

Effective

Outstanding

Updated 24 April 2019

The service remains very effective.

Caring

Outstanding

Updated 24 April 2019

The service remains very caring.

Responsive

Outstanding

Updated 24 April 2019

The service remains very responsive.

Well-led

Outstanding

Updated 24 April 2019

The service remains very well-led.