• Care Home
  • Care home

The Vicarage Residential Care Home

Overall: Requires improvement read more about inspection ratings

109 Audenshaw Road, Audenshaw, Manchester, Greater Manchester, M34 5NL (0161) 301 4766

Provided and run by:
Clarkson House Residential Care Home Ltd

Latest inspection summary

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Background to this inspection

Updated 19 May 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The Vicarage Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Vicarage Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. The registered manager was also the provider. This means they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 7 relatives about their experience of the care provided. We spoke with 9 staff including the registered manager, deputy manager, the cook, domestic and care workers. We also spent time in communal areas observing how staff supported people.

We reviewed a range of records. These included care records, records relating to medicines, staff recruitment, training, and supervision, building maintenance, cleaning and equipment checks, accidents and incidents and safeguarding logs. We also looked at a variety of records relating to the management of the service, including audits and policies and procedures.

Overall inspection

Requires improvement

Updated 19 May 2023

About the service

The Vicarage Residential Care Home is a residential care home providing accommodation and personal care to up to a maximum of 30 people in 1 adapted building. At the time of our inspection there were 19 people using the service.

People’s experience of using this service and what we found

There was a lack of activities and social stimulation on offer and activities were not based on individual preferences.

Accidents and incidents were recorded but there was limited evidence of lessons learnt following on from an incident meaning the risk of this occurring was not always mitigated. Individual risk assessments were in place and care plans were detailed and person centred. However, people were not always involved in the care planning process.

People were safeguarded from the risk of abuse and people at the service felt safe. There was sufficient staff deployed to meet people’s needs and recruitment processes were robust. Medicines were stored and administered safely.

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.

There were systems in place for managing complaints but not everyone that used the service was aware of what the procedure was. People’s end of life wishes were recorded and identified.

Governance systems were in place, and we saw evidence of audits taking place. People and their relatives spoke highly of the registered manager and the staff team.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 October 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

This service has been rated requires improvement for the last 2 consecutive inspections.

Why we inspected

The inspection was carried out to follow up on actions we told the provider to take at the last inspection.

Enforcement and Recommendations

We have identified a breach in relation to a lack of person-centred care activities. The provider had failed to ensure care was designed to meet people’s needs, taking their preferences into account. We have also made a recommendation in relation to lessons learnt.

Please see the action we told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.