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Inspection Summary


Overall summary & rating

Good

Updated 31 October 2019

About the service

The Old Rectory 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 Rectory accommodates 28 people in one adapted building which is set over three floors. There were 18 people living at the home at the time of our inspection.

People’s experience of using this service

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People continued to tell us they felt safe and well supported. Staff had a good understanding in how they protected people from harm and recognised different types of abuse and how to report it. Potential risks to people’s health and wellbeing had been identified and people had been involved with decisions in how to reduce the risk of harm. There were enough staff on duty to keep people safe and meet their needs. People’s medicines were managed and stored in a safe way. Safe practice was carried out to reduce the risk of infection.

People’s care continued to be assessed and reviewed with the person involved throughout. People were supported to have a healthy balanced diet and were given food they enjoyed. Staff worked with external healthcare professionals and followed their guidance and advice about how to support people following best practice.

Staff treated people as individuals and respected the choices they made. Staff treated people with respect and maintained their dignity.

People’s care was delivered in a timely way, with any changes in care being communicated clearly to the staff team. People were supported and encouraged to maintain their hobbies and interests. People had access to information about how to raise a complaint.

The registered manager was visible in the home, listened and responded to those who lived in the home and the staff who worked there. The checks the registered manager made to ensure the service was meeting people’s needs focused upon people’s views and experiences. The providers checks were basic, and they discussed plans with us to put more robust checks in place and develop clear action plans with the registered manager so that improvements could be clearly reviewed.

Rating at last inspection

The last rating for this service was Good. The last report was published 21 March 2017.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 31 October 2019

The service was safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 31 October 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 31 October 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 31 October 2019

The service was Well-Led.

Details are in our Well-Led findings below.