Archived: The Old Vicarage Care Home (Long Eaton) Limited

There was a registered manager in post. 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.

People and relatives were extremely positive about the care and support provided at the home.

We saw that there were enough staff with the right skills, training and support to meet the number and needs of people living at the service. Staff told us they felt valued by the manager and the provider.

Staff had positive relationships with people and understood their needs. this included their

preferred routines and wishes.

Staff understood how to give people choices. The manager and their staff understood and worked within the principles of the Mental Capacity Act to ensure people's capacity was assessed and monitored. Where people lacked capacity, any decisions were considered with people who were important to the person as part of a best interest decision.

The home was cleaned and decorated to a high standard and homely features made it welcoming. Systems were used to ensure the environment was kept clean and safe with audits being completed on all aspects of the building and equipment.

There was a programme of activities which included things people had identified as what they wishes to do. The provider had introduced a ‘make it happen’ campaign to ensure each person was able to make a wish and be supported by the home and relatives to make it happen.

Medicines were well managed and stored in a safe manner. We saw people received their medicines in a timely way and as required people were offered pain relief.

Care and support was planned to ensure that risks were assessed and monitored. People's choices and preferences were included within care plans to ensure staff understood how to assist people in way they preferred and had their wishes met.

People were protected from harm because staff were only recruited once they had all the checks in place to ensure they were suitable to work with vulnerable people. Staff understood what may constitute abuse and how and to whom they should report any concerns.

People told us they enjoyed the meals and had a choice. When people required support this was provided along with nutritional supplements to maintain or increase people’s weight.

People and relatives felt able to raise any concerns and we saw that complaint shads been responded to.

The registered manager provider worked hands on within the home and spent time talking with people, their visitors and with staff to ensure their views were heard. Quality assurance

systems included audits on the environment and documentation relating to people's daily care and

support.

The manager and provider understood the requirements of their registration and we saw this was followed.

People told us they were happy with the care they received and felt staff looked after their health well. People told us staff would call the doctor and district nurse when needed. We saw evidence in care records that confirmed this. We saw that care plans and risk assessments were reviewed regularly and steps were taken to reduce risk.

People we spoke with felt the building was safe and well maintained. We found that the provider had an effective recruitment and selection process to ensure staff were suitably skilled and qualified to meet people's needs.

The provider had systems in place to monitor the quality of the service. People we spoke with told us they had the opportunity to feedback their experiences of the service to the provider and felt their comments or concerns were acted on.

People told us they were not involved in planning or reviewing their care. One person told us 'I'm not involved in any reviews, I don't know about care plans'. We did not see evidence that showed the provided discussed peoples care and treatment choices with them.

People told us they felt safe at the home and had never seen anything of concern. We saw the provider had processes in place to deal with any concerns and staff and people who use the service knew how to raise a concern. One person told us 'I always feel safe leaving my relative here, I know the staff treat him well'.

People felt the home was well maintained and there were enough well trained staff to meet their needs. Nobody we spoke with had ever had to make a complaint but each person felt they could speak to the manager or owner at anytime and were confident the issue would be addressed.