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Archived: The Old Vicarage Outstanding

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 28 January 2016

The service provided accommodation and personal care for up to 41 predominantly older people. This service did not provide nursing care. At the time of our inspection there were 37 people using the service.

The registered manager had resigned in the month prior to our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The provider had reviewed the service’s management structure and had at the time of our inspection decided to put forward both of the services existing care mangers for registration.

We carried out this unannounced inspection on 23 and 24 November 2015. The service was previously inspected in February 2014 when it was found to be fully compliant with the regulations.

Everyone we spoke with told us they were safe, comfortable and well cared for at The Old Vicarage. People told us; “I am safe here”, “the staff are wonderful, caring and compassionate” and, “They look after me beautifully. Relatives commented, “people are definitely safe here” and, “they are incredibly patient and caring with [my relative].”

People’s care plans were personalised, up to date and accurately reflected their individual care and support needs. These documents provided staff with clear guidance on the level of support each person required and comprehensive risk assessments designed ensure people’s safety while enabling people to take risks in order to maintain their independence. Staff provided care compassionately and respected people’s choices and decisions.

Each person’s care plan included highly detailed information about their life history, hobbies and interests designed to help staff see people as individuals with specific likes and preferences. The service’s activities team was working with volunteers on a project to develop interactive life history presentations.

We found there were sufficient skilled staff available at all times to meet people’s care needs. Staff received regular formal training and innovative techniques, designed to provide staff with an insight into what it was like to need care’ were included in the services induction training.

Staff and volunteers were highly motivated and demonstrated throughout our inspection a clear commitment to provide dignified and compassionate support. The provider was a strong role model and demonstrated both a detailed understanding of people’s care needs and evident concern for their individual welfare. People told us; “The positive atmosphere is created by the boss who is excellent” and, “[the provider] put us completely at ease.” While staff said; “[the provider] is a good boss, very fair” and, “I love [the provider] she is fab with the residents.”

People were involved in village life and the wide selection of activities available within the service. People told us; “it’s great fun here”, “the activities are fantastic” and, “We are very fortunate indeed with our activities coordinator.”

People told us the Old Vicarage was, “spotlessly clean” and we found the service was well maintained with light and warm communal areas. People were able to decorate their rooms with their own furniture and other personal items. The service had extensive well maintained gardens including areas designed to enable people who used wheel chairs to enjoy gardening.

Where people lacked the capacity to make specific decisions the service had consistently acted in the person’s best interests involving family members and heath professional in these decision making processes when appropriate.

Mealtimes were relaxed and social events at The Old Vicarage and people told us; “the cook is first class”, “we can have a nice little drink of wine when we want one” and, “if I don’t fancy what’s on

Inspection areas

Safe

Good

Updated 28 January 2016

The service was safe. Recruitment procedures were safe and staff understood both the providers and local authority’s procedures for the reporting of suspected abuse.

The risks management procedures were robust and designed to protect people from harm while enabling them to be as independent as possible.

There were sufficient staff available to meet people care needs and people were safely supported with their medicines.

Effective

Good

Updated 28 January 2016

The service was effective. Staff were well trained and the service had incorporated innovative training techniques into the induction training for new members of staff.

Staff were well supported and received regular supervision and annual performance appraisals.

People’s choices were consistently respected and staff understood the requirements of the Mental Capacity Act.

Caring

Outstanding

Updated 28 January 2016

The service was caring. The well-established staff team had developed caring and supportive relationships with people at The Old Vicarage.

People were well cared for by staff who had sufficient time to provided dignified and compassionate care.

The service provided consistent, high quality end of life care

Responsive

Outstanding

Updated 28 January 2016

The service was responsive. People’s care plans were detailed and personalised. These documents contained sufficient information to enable staff to meet their identified care needs.

People were actively encouraged and supported to engage with the local community and there was a wide range of varied activities available within the service.

The service was developing innovative techniques to help enable staff to understand people’s life history and interests.

Well-led

Outstanding

Updated 28 January 2016

The service was well led. The provider and management team were strong role models and provided the well-motivated staff with appropriate leadership and support.

There were effective quality assurance systems in place designed to both monitor the quality of care provided and drive improvements within the service.