22 December 2020
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.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 08 December 2020 and was announced.
22 December 2020
About the service
The Old Vicarage is registered to provide accommodation and care for up to 14 people who have learning disabilities, physical disabilities and mental health needs.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service consists of a main house which is divided into two separate but connected, self-contained homes and a self-contained flat. There are three Mews cottages in the grounds. This is larger than current best practice guidance. We have rated the service outstanding as the size of the service having a negative impact on people, was mitigated by the building design which consisted of smaller living areas and fitted in well within the residential area where it was located. The service had been arranged in a way that ensured people received person-centred care and were supported to maximise their independence, choice, control and involvement in the community. Staff did not wear anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
People received an exceptionally personalised service that supported their very individual needs which was a great achievement on behalf of the provider, given the challenges people faced due to their physical, learning and mental health disabilities. One relative said, “No other company comes close, they know exactly what is needed. They go above and beyond every time.” Staff went the extra mile to support people to undertake a variety of exciting and challenging activities of their choice which interested them.
The provider's vision and values were inclusive and person-centred to make sure people were at the heart of the service. This vision was driven by the exceptional leadership of the management team. Relatives spoke extremely highly about the provider and the service delivered at The Old Vicarage. One relatives stated, “I cannot speak highly enough of them, they are amazing, the care is second to none. They take care of every aspect.”
There was a strong emphasis on continuous improvement. An advanced centralised electronic monitoring system was in place. Every aspect of people’s care and support and the management of the service were monitored in ‘real time.’ This enabled management staff to immediately identify any issues or changes that needed attention and evidence showed they acted swiftly, applying the ethos of the service to continually strive for improvements to people’s individualised care experiences.
Staff spoke passionately about working for the company and at The Old Vicarage. One staff member said, “I love it, I couldn’t picture myself doing anything else. It’s like a family, they mean such a lot to me and every day is different.”
People were fully and regularly supported to take positive risks to enable them to live fulfilling lives. Core staff teams worked extremely effectively together and were built around meeting the needs of people.
There was a strong emphasis on the importance of eating and drinking well. The provider had set up ‘training kitchen’ workshops. Staff and people attended sessions to learn how to cook from scratch.
People received care and support from staff who knew them well. Relatives were positive about the care provided. One relative told us, “The main thing is they love her” and “I wouldn’t let her go to anywhere else.”
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 supported this practice.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 8 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about The Old Vicarage until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.