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Inspection Summary


Overall summary & rating

Good

Updated 23 June 2017

The Old Rectory is a 15 bedded care home for people with learning disabilities. It specialises in caring for people with autism spectrum disorder and health, emotional and behavioural needs. The provider is Oakprice Care Limited, a family run business. People who live there range from young adults to older people, and live within four separate units. At the time of our inspection there were 15 people living at The Old Rectory.

At the last inspection on 8 December 2015, the service was rated Good overall. However, we rated the ‘effective’ domain as requires improvement because there were two breaches of regulations found at that inspection. This was because consent arrangements for people who lacked capacity were not fully in accordance with the Mental Capacity Act 2005, as best interest decisions made were not always recorded. Also, because new staff did not receive a comprehensive induction when they started working for the service to enable them to carry out their duties. This inspection found improvements had been made in both those areas and the service was now meeting all the requirements of the regulations.

At this inspection we found the service remained Good.

Why the service is rated good:

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People’s rights were protected because improvements had been made in the policies and recording systems the service used for people who lacked capacity. They had improved their documentation to demonstrate involvement of professionals and relatives in best interest decision making.

Improvements had been made in induction arrangements for new staff. They received a more comprehensive induction, and worked alongside more experienced staff. This meant they got to know people well and how to meet their needs before working with them unsupervised. Staff received regular training and supervision which enabled them to feel confident in meeting people’s needs and recognising changes in their health.

The service continued to provide safe care to people. People were supported to have maximum choice and control of their lives. Measures to manage risk were as least restrictive as possible to protect people’s freedom. There were enough staff to meet people's needs and support them with activities and trips out. Medicines were safely managed on people’s behalf. There were effective staff recruitment and selection processes in place.

People received effective care and support from staff who received regular training and updating.

Health and social care professionals were involved in people’s care to ensure they received the care and treatment which was right for them. People were supported to maintain a balanced diet, and to keep active.

People had built strong relationships with each other and with staff who were caring and compassionate. There was a happy atmosphere in the home and people told us they liked staff who were always kind. People's privacy and dignity was respected. A visiting professional said, “I love going to The Old Rectory, it’s got a nice homely feel, and there is a good mix of older and younger people.”

People enjoyed a wide variety of hobbies and interests and were part of their local community. They received personalised care and support that met their individual needs. Care plans were personalised to reflect people’s preferences and provided detailed information about the support they needed.

The service was well led by a registered manager who was open and approachable. People had lots of opportunities to have their say and their views and suggestions were taken into account to improve the service. Staff spoke positively about good communication and teamwork and had opportunities for professional development. A number of methods were used to assess the quality and safety of the service and staff made continuous improvements in response to their findings.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 23 June 2017

The service remains Good.

Effective

Good

Updated 23 June 2017

The service has improved to Good.

New staff received a comprehensive induction, so they got to know people and how to meet their needs. Staff received regular training and supervision which enabled them to feel confident in meeting people’s needs and recognising changes in their health.

Staff demonstrated a good knowledge and understanding of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards, and acted in accordance with them.

People were supported to access healthcare services. Staff recognised changes in people's health, sought professional advice appropriately and followed that advice.

People were supported to lead a healthy lifestyle and to improve their health through good nutrition, hydration and exercise.

Caring

Good

Updated 23 June 2017

The service remains Good.

Responsive

Good

Updated 23 June 2017

The service remains Good.

Well-led

Good

Updated 23 June 2017

The service remains Good.