All Saints Vicarage

Updated 17 March 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.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

All Saints Vicarage 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. All Saints Vicarage] 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.

We used all this information to plan our inspection.

During the inspection

We observed, interacted or spoke with 3 people who used the service, 5 care staff and the registered manager. We reviewed a range of records. This included 3 people's care records, 3 staff files, training records, staff supervision records and medicine administration records. We also looked at audits and a variety of records relating to the management of the service, including policies and procedures.

Updated 17 March 2023

About the service

All Saints Vicarage is a residential care home, registered to provide care and support for up to 7 adults with learning disabilities and/or autism in one adapted building. There was 7 people using the service at the time of inspection.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support:

The service gave people care and support in a safe, clean and well-equipped environment that met their needs. Staff followed best practice guidance to control the risk and spread of infection Medicines were managed safely and people received their medicines as prescribed.

Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful life. The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted. People were cared for and supported by staff who had relevant training and skills.

People's risks in relation to their care were managed and staff understood how to maintain and encourage people's independence.

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.

Right Care:

People and their relatives were included in decisions about their care and support. Care plans were personalised and included information on people's healthcare needs, communication needs, preferences and social history.

People were treated as individuals and staff respected each person's routines and needs. Observations and records showed that people experienced choice and control over their support and care.

Right Culture:

Effective systems were in place to quality assure the services provided, manage risks and drive improvement. We noted not everyone had received supervisions recently and registered manager gave assurances they would address this issue.

There was a warm atmosphere in the home. Some people had lived together for a number of years and had formed good friendships with each other. The culture of the service was positive. People were treated with dignity and respect and were involved in shaping their care.

The registered provider, recognised shortfalls in the management of people’s health needs and worked closely with the local authority to find alternative homes for people if needed.

People were supported to access other healthcare professionals and services; care workers accompanied people or arranged visits to hospitals and appointments with GPs.

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 good (published 19 October 2018).

Why we inspected

The inspection was prompted in part due to concerns received about the management of people’s health needs. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, caring and well-led only.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We found no evidence during this inspection that people were at risk of harm from the concerns raised with us.

Please see the safe, effective and well-led section for the full report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.