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We are carrying out a review of quality at Vicarage Road. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating


Updated 27 June 2019

About the service:

Vicarage Road is a residential care home that provides personal care to up to six people with a learning disability. At the time of the inspection, five people were living in the service.

People’s experience of using this service:

People received a person-centred service that respected their wishes and choices and supported them to reach their potential. Staff were committed to their roles and supported by a management team that were knowledgeable, experienced and skilled.

People were supported by staff who knew how to keep them safe and protect them from avoidable harm. There were enough safely recruited staff to meet people’s needs on an individual basis and the staff were flexible in their approach. Risks to people and others had been identified and managed. People received their medicines safely and as prescribed as staff had received training and followed good practice guidance. The premises were clean, and staff followed infection prevention and control procedures.

People’s needs were assessed and care and support was planned with individuals to achieve their wishes. Care was delivered by staff who were well trained and knowledgeable about people’s needs. Staff felt supported and empowered in their roles. People chose what they wished to eat and drink and were supported to make choices to aid a healthy lifestyle.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. 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.

People told us staff were kind and supported them in their lives. We saw that interactions were warm and engaging and there was a calm and friendly atmosphere within the home. People’s dignity and privacy was maintained, and they were supported to be as independent as possible. Staff supported people to be fully involved in the care and support they received.

Staff were responsive to, and knowledgeable about, people’s needs, wishes and personalities and care was planned accordingly. People were involved in decisions around their care and reviews were regular and in-depth. Communication was tailored to each individual and information was available in different, accessible formats. Staff supported people to engage in their hobbies and interests.

The service continued to be well-led by experienced and skilled managers. They supported an environment that was open, positive and inclusive. Systems were in place to monitor the service and make improvements as necessary whilst taking into account people’s views. The service worked well with others and respected their input.

Rating at last inspection:

At the last inspection the service was rated good (report published on 7 November 2016).

Why we inspected:

This was a scheduled comprehensive inspection; its timing based on its previous rating.

Follow up:

We will continue to monitor the intelligence we receive about this service until we return to visit as per our inspection schedule. We have made a recommendation around Disclosure and Barring Service (DBS) checks and will follow this up at our next inspection.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 27 June 2019

The service was safe.

Details are in our Safe findings below.



Updated 27 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 27 June 2019

The service was caring.

Details are in our Caring findings below.



Updated 27 June 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 27 June 2019

The service was well-led.

Details are in our Well-Led findings below.